NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
During a pre-op assessment, the nurse would chart which finding(s) as subjective data? Select all that apply.
Correct Answer: B,C,E
Rationale: Subjective data are client-reported, including statements about surgery concerns, weight loss, and pain ratings. Sweating/wringing hands and blood pressure are objective (observable/measurable).
Question 2 of 5
A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:
Correct Answer: C
Rationale: Post-tonsillectomy, the risk of bleeding and aspiration is a priority due to the surgical site in the throat.
Question 3 of 5
A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to:
Correct Answer: B
Rationale: Voiding every 3 hours prevents urine stasis, reducing the risk of bacterial growth and urinary tract infections.
Question 4 of 5
The nurse is caring for a client receiving theophylline for asthma. In reviewing client labs, the nurse understands that the dose is therapeutic when the drug level is at what concentration?
Correct Answer: C
Rationale: The therapeutic range for theophylline is 10-20 mcg/mL. Other ranges are incorrect for this medication.
Question 5 of 5
The client has a nitroprusside drip infusing at 0.3 mcg/kg/min. The concentration is 50 mg nitroprusside in 250 mL D5W. The client weighs 70 kg. What will the IV infusion rate be?
Correct Answer: 6.3 mL/hr
Rationale:
To calculate: 0.3 mcg/kg/min × 70 kg = 21 mcg/min. Concentration is 50 mg/250 mL = 200 mcg/mL. Rate = 21 mcg/min ÷ 200 mcg/mL = 0.105 mL/min × 60 min/hr = 6.3 mL/hr.