NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The client with an abdominal aortic aneurysm is admitted in preparation for surgery. Which of the following should be reported to the doctor?
Correct Answer: A
Rationale: An elevated white blood cell count may indicate infection or inflammation, which requires prompt reporting before surgery.
Question 2 of 5
A client is prescribed 0.25 mg terbutaline subcutaneously, but the medication is provided as 1 mg/mL. How much medication is needed to provide the correct dosage? Record your answer using a decimal to two places.
Correct Answer: 0.25
Rationale: Dose required = 0.25 mg. Concentration is 1 mg/mL, so volume = 0.25 m/1 mg/mL = 0.25 mL.
Question 3 of 5
The nurse is caring for a 4-year-old with cerebral palsy. Which nursing intervention will help ready the child for rehabilitative services?
Correct Answer: D
Rationale: Video games can improve hand-eye coordination and muscle control, aiding in rehabilitation for a child with cerebral palsy.
Question 4 of 5
A client with chronic pain is being treated with opioid administration via epidural route. Which medication would it be most important to have available due to a possible complication of this pain relief procedure?
Correct Answer: B
Rationale: Epidural opioids can cause respiratory depression, a life-threatening complication. Naloxone (Narcan) is an opioid antagonist that reverses this effect, making it critical to have available. The other medications address pain, allergies, or nausea, not opioid-related complications.
Question 5 of 5
The nurse is instructing a client who has had an eye removed in the proper procedure for inserting a prosthetic eye. Place the following steps of prosthetic-eye insertion (in Roman numerals) in the correct sequence from the first to the last.
Order the Items
Source Container
Correct Answer: F,D,A,B,C,E
Rationale: The correct sequence for inserting a prosthetic eye is: Cleanse the prosthetic eye (VI), identify landmarks (IV), raise the upper eyelid (I), pull the lower eyelid down (II), slide the prosthesis under the upper eyelid (III), and check positioning (V). This ensures proper hygiene and alignment.