NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
For which of the following reasons would the nurse use the Braden Scale to assess a client?
Correct Answer: B
Rationale: The Braden Scale assesses risk for pressure sores (
B) by evaluating factors like mobility and skin moisture. It is not used for delirium (
A), falls (
C), or substance abuse (
D).
Question 2 of 5
A client has orders for a heparin drip with 20,000 units in a 250 mL bag. The heparin must be delivered at 854 units per hour. What rate will the nurse set for the IV?
Correct Answer: 10.7 mL/hr.
Rationale: Concentration: 20,000 units/250 mL = 80 units/mL. Rate: 854 units/hr ÷ 80 units/mL = 10.675 mL/hr, rounded to 10.7 mL/hr.
Question 3 of 5
The nurse has rounded on all the assigned clients. While rounding, several health care providers have written orders on the nurse's clients. Which order would be the priority for the nurse to address?
Correct Answer: A
Rationale: STAT orders for furosemide address acute fluid overload, a potentially life-threatening condition, making it the priority over insulin, dressing changes, or discharge.
Question 4 of 5
The nurse is caring for a client admitted with chest pain and atrial fibrillation. The nurse accidentally gives the client the wrong dose of digoxin. The client is monitored throughout the shift and no ill effects are noted. Which actions by the nurse are correct? Select all that apply.
Correct Answer: C
Rationale: Filling out an incident report and notifying the provider immediately are necessary to address the medication error and ensure client safety, even if no ill effects were observed.
Question 5 of 5
The most appropriate means of rehydration of a 7-month-old with diarrhea and mild dehydration is:
Correct Answer: A
Rationale: Oral rehydration therapy with electrolyte solutions is the standard for mild dehydration in infants, as it effectively restores fluid and electrolyte balance.