NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
Six hours after birth, the infant is found to have an area of swelling over the right parietal area that does not cross the suture line. The nurse should chart this finding as:
Correct Answer: A
Rationale: A cephalhematoma is a subperiosteal hemorrhage that does not cross suture lines, commonly seen in newborns.
Question 2 of 5
The nurse is providing discharge teaching to a client newly diagnosed with heart failure. Which statement by the client indicates an understanding of the side effects of furosemide (Lasix)?
Correct Answer: A
Rationale: Furosemide can cause potassium loss; eating potassium-rich foods like bananas, dates, or peaches shows understanding of managing this side effect.
Question 3 of 5
A client has received 10 mg of morphine sulfate subcutaneously. When does the nurse anticipate the maximal period of respiratory depression will occur?
Correct Answer: A
Rationale: Morphine sulfate administered subcutaneously reaches peak effect, including respiratory depression, within 5-10 minutes. Thus, 7 minutes (
A) is the most accurate time frame.
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 client is to receive 1,000 mL of potassium chloride in 5% dextrose injection (D5W) intravenously over 3 hours and 20 minutes using a drop factor of 15 drops/mL. What is the required flow rate (drops) per minute? Record your answer using a whole number.
Correct Answer: 75
Rationale:
To calculate the flow rate in drops per minute, use the formula: (
Total volume X Drop factor)/
Total time in minutes. The total volume is 1,000 mL, the drop factor is 15 drops/mL, and the time is 3 hours 20 minutes = 200 minutes. Thus, (1,000 X 15)/ 200 = 15,000/ 200 = 75 drops/minute.