NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
The charge nurse is formulating a discharge teaching plan for a client with mild preeclampsia. The nurse should give priority to:
Correct Answer: A
Rationale: A nosebleed may indicate worsening hypertension in preeclampsia, a critical symptom requiring immediate reporting.
Question 2 of 5
The physician orders an MRI of the spine with infusion for an adult female. Which of the following findings in the client's history should the nurse report to the physician?
Correct Answer: A
Rationale: Shellfish allergy may indicate iodine sensitivity, a concern for MRI contrast, requiring physician evaluation to prevent allergic reactions.
Question 3 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 4 of 5
A 25-year-old male is brought to the emergency room with a piece of metal in his eye. The first action the nurse should take is:
Correct Answer: C
Rationale: Covering both eyes prevents eye movement, reducing further damage.
Question 5 of 5
The nurse is teaching a client with a new diagnosis of glaucoma about eye drop administration. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: applying pressure to the inner canthus (nasolacrimal occlusion) prevents systemic absorption of the medication