NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
An elderly client with moderate Alzheimer's disease lives with her daughter and appears dirty and disheveled and has lost five pounds over the previous month. Which of the following does the nurse suspect?
Correct Answer: B
Rationale: The client's dirty, disheveled appearance and weight loss suggest caregiver neglect (
B), as the daughter may not be providing adequate care. Physical abuse (
A) would involve evidence of injury, self-neglect (
C) is unlikely given the client's Alzheimer's, and psychological abuse (
D) involves emotional harm, not physical neglect.
Question 2 of 5
The nurse is admitting a new client to the medical unit. When asked about advance directives, the client says, 'I'm not really sure what that is, but I trust my doctor to do whatever he thinks I need.' Which is the correct action by the nurse?
Correct Answer: C
Rationale: Educating the client about advance directives empowers informed decision-making and respects autonomy.
Question 3 of 5
A woman comes to a community health clinic and expresses concern she may have been exposed to HIV. The community nurse draws blood for an ELISA test, which comes back as positive. The nurse should
Correct Answer: B
Rationale: A positive ELISA requires confirmation with a Western blot test to diagnose HIV, ensuring accuracy and reducing false positives.
Question 4 of 5
A child weighing 20 kg is to receive 45 mg/kg of amoxicillin per day in a divided dose every 12 hours. The oral suspension contains 250 mg/5 mL. How many milliliters should the child receive in each dose? Record your answer using a whole number.
Correct Answer: 9
Rationale: Daily dose = 45 mg/kg X 20 kg = 900 mg/day. Divided every 12 hours = 450 mg/dose. Suspension is 250 mg/5 mL, so 450 mg X (5 mL/250 mg) = 9 mL/dose.
Question 5 of 5
A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:
Correct Answer: D
Rationale: Allowing 24 hours for the cast to dry prevents damage and ensures proper immobilization.