NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The clinical triad of abnormalities seen in serotonin syndrome includes all of the following EXCEPT
Correct Answer: D
Rationale: Serotonin syndrome involves cognitive (confusion), autonomic (fever, sweating), and somatic (tremors, rigidity) effects. Behavioral effects are not part of the classic triad.
Question 2 of 5
A client with multiple sclerosis tires easily, so the nurse is instructing the client in energy-conservation techniques. Which of the following techniques may help the client conserve energy? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Energy conservation for multiple sclerosis includes sitting for tasks (
A), resting regularly (
C), planning movements (
D), and monitoring fatigue (E). Items on the floor or high shelves (
B) increase effort, and pulling vs. pushing (F) is not standard.
Question 3 of 5
A hospice client is to receive 4 mg of morphine sulfate (MS) subcutaneously from a vial that contains 10 mg/mL. How many milliliters of MS should the patient receive to equal a dose of 4 mg? Record your answer using one decimal place.
Correct Answer: 0.4
Rationale: Dose = 4 mg, concentration = 10 mg/mL. Volume = 4 m/10 mg/mL = 0.4 mL.
Question 4 of 5
The nurse is assessing the chart of a client with a stroke. MRI results reveal a hemorrhagic stroke to the brain. Which physician prescription would the nurse question?
Correct Answer: C
Rationale: Heparin is contraindicated in hemorrhagic stroke due to the risk of worsening bleeding, making this prescription inappropriate and requiring clarification.
Question 5 of 5
A client with pelvic skin traction for low back pain is at risk of which of the following problems associated with decreased mobility? Select all that apply.
Correct Answer: A,B,C
Rationale: Decreased mobility from traction increases risks of orthostatic hypotension (
A), muscle weakness (
B), and venous stasis (
C). Dysuria (
D) and confusion (E) are less directly related.