NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
An older client says that she frequently experiences stress incontinence and may have to stop playing golf because swinging the golf club often results in small amounts of urinary incontinence. Which of the following suggestions may be most effective?
Correct Answer: B
Rationale: The 'knack' (
B), contracting pelvic floor muscles before swinging, can prevent stress incontinence. Deep breathing (
A) is ineffective, pads (
C) manage but don't prevent, and urinating beforehand (
D) is less effective.
Question 2 of 5
The director of nursing is working on an occupational health and safety manual for the staff. She wants to include a section describing how factors in the environment can increase safety and reduce risk and injury. The term for this study is
Correct Answer: C
Rationale: Ergonomics studies workplace design to enhance safety and reduce injury risk, aligning with the manual’s goals.
Question 3 of 5
The nurse asked the client if he has an advance directive. The reason for asking the client this question is:
Correct Answer: B
Rationale: An advance directive clarifies the client's wishes, reducing family confusion during critical medical decisions.
Question 4 of 5
After a discharge, there is a private room available on the floor. The nurse should move which client to the private room?
Correct Answer: B
Rationale: Pityriasis rosea is a potentially contagious rash, warranting a private room to prevent spread. The other conditions are not infectious.
Question 5 of 5
The nurse has an order to administer a heparin drip at 12 units/kg/hr. The client weighs 178 pounds. The heparin is available as 25,000 units in 500 mL D5W. At which rate should the nurse program the pump?
Correct Answer: 11.3
Rationale: Weight: 178 lbs ÷ 2.2 = 80.91 kg. Dose: 80.91 × 12 = 970.92 units/hr. Concentration: 25,000 units ÷ 500 mL = 50 units/mL. Rate: 970.92 ÷ 50 = 19.42 mL/hr (rounded to 19.4 mL/hr).