NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The hospital conducts an information and education session on anthrax. The nurse learns the methods of anthrax transmission include which of the following? Select all that apply.
Correct Answer: A,C,E
Rationale: Anthrax is transmitted via cutaneous (skin contact), inhalation (spores), and gastrointestinal (contaminated food) routes. Ocular and fomite transmission are not primary modes.
Question 2 of 5
The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?
Correct Answer: D
Rationale: A beefy, red, swollen tongue is a classic symptom of vitamin B12 deficiency due to glossitis caused by impaired cell division in the oral mucosa.
Question 3 of 5
During the change of shift report, the nurse states that the client's last pulse strength was a 1+. The oncoming nurse recognizes that the client's pulse was:
Correct Answer: D
Rationale: A pulse strength of 1+ indicates a weak pulse, per standard pulse assessment scales.
Question 4 of 5
The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:
Correct Answer: D
Rationale: Histoplasmosis is a fungal infection transmitted through inhalation of spores from bird or bat droppings.
Question 5 of 5
The nurse has an order to administer a heparin drip at 12 units/kg/hr. The client weighs 178 pounds. The heparin is available as 25,000 units in 500 mL D5W. At which rate should the nurse program the pump?
Correct Answer: 11.3
Rationale: Weight: 178 lbs ÷ 2.2 = 80.91 kg. Dose: 80.91 × 12 = 970.92 units/hr. Concentration: 25,000 units ÷ 500 mL = 50 units/mL. Rate: 970.92 ÷ 50 = 19.42 mL/hr (rounded to 19.4 mL/hr).