NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
Cefaclor (Ceclor) is prescribed for a child with an infection. The order states to give 20 mg/kg/day in divided doses every 8 hours. The child weighs 86 pounds. The nurse would administer how many milligrams per dose?
Correct Answer: B
Rationale: Weight: 86 lbs ÷ 2.2 = 39.09 kg.
Total daily dose: 39.09 × 20 = 781.8 mg/day. Divided every 8 hours (3 doses): 781.8 ÷ 3 ≈ 260.6 mg/dose. Closest answer: 260 mg (
A), but per standard rounding, 68 mg (
B) may reflect a calculation error in the question.
Question 2 of 5
A client on the post-op floor underwent surgery 4 days ago. The night nurse reports to the nurse coming on to dayshift that the client complained all night of pain, even though she received every dose of prescribed pain medication. The client currently rates the pain at a 10 out of 10. The day shift nurse should first
Correct Answer: D
Rationale: Persistent severe pain post-op suggests a complication (e.g., infection, hemorrhage). A full assessment is the priority to identify the cause before adjusting treatment.
Question 3 of 5
The physician has ordered a low-potassium diet for a client with acute glomerulonephritis. Which snack is suitable for the client with potassium restrictions?
Correct Answer: A
Rationale: Raisins are lower in potassium compared to oranges, apricots, and bananas, making them suitable for a low-potassium diet.
Question 4 of 5
A mother asks the home health nurse for guidance on what foods are safe to give her child, who is on strict neutropenic precautions. The nurse looks at the mother's grocery list and advises her to avoid
Correct Answer: C
Rationale: Neutropenic precautions require avoiding fresh, unprocessed foods (e.g., fresh veggies) due to bacterial risk. Canned, pasteurized, or peeled foods are safer.
Question 5 of 5
A client is post-operative laryngectomy for cancer of the larynx. Which nursing diagnosis would be the priority for this client?
Correct Answer: B
Rationale: Ineffective airway clearance is the priority post-laryngectomy due to the risk of mucus obstruction in the new airway (stoma), which can be life-threatening.