NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
If a client weighs 132 lb and has a caloric requirement of 28 calories per kg of body weight per day, what is the number of calories that the client needs each day to maintain body weight? Record your answer using a whole number.
Correct Answer: 1680
Rationale: Weight = 132 lb/ 2.2 = 60 kg. Calories = 60 kg X 28 cal/kg = 1,680 calories/day.
Question 2 of 5
The nurse is caring for a client with a wound that presents with full-thickness tissue loss and eschar covering the wound bed. The nurse would record this wound as which stage?
Correct Answer: E
Rationale: Eschar covering the wound bed makes it unstageable, as the depth cannot be assessed until debridement.
Question 3 of 5
The charge nurse is making an assignment for an LPN on an upcoming shift. Which assignment would be appropriate?
Correct Answer: B
Rationale: Vital sign monitoring is within the LPN’s scope. Seizure management, blood transfusions, and discharge teaching require RN expertise.
Question 4 of 5
A vaginal exam reveals a breech presentation in a newly admitted client. The nurse should take which of the following actions at this time?
Correct Answer: B
Rationale: Applying the fetal heart monitor assesses fetal well-being in a breech presentation, guiding further management.
Question 5 of 5
A nurse is assessing a 33-year-old patient who underwent a cholecystectomy 18 hours prior. The nurse notes 500 mL of greenish-brown fluid has drained from the T-tube postoperatively. The nurse should
Correct Answer: A
Rationale: Greenish-brown drainage (bile) from a T-tube post-cholecystectomy is expected (up to 500-1000 mL/day initially). The nurse should document and monitor, not assume infection or intervene unnecessarily.