NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse assesses a new order for a blood transfusion. The order is to transfuse 1 unit of packed red blood cells (contains 250 mL) in a 2-hour period. What will be the hourly rate of infusion?
Correct Answer: C
Rationale:
To calculate the hourly rate: 250 mL ÷ 2 hours = 125 mL/hr, ensuring the transfusion is completed within the prescribed time.
Question 2 of 5
A client with cirrhosis has developed signs of heptorenal syndrome. Which diet is most appropriate for the client at this time?
Correct Answer: C
Rationale: Low protein and low sodium diets reduce the burden on the liver and kidneys in hepatorenal syndrome.
Question 3 of 5
A woman is admitted to the labor and delivery unit in a sickle cell crisis. Which of the following nursing actions is the HIGHEST priority?
Correct Answer: C
Rationale: adequate hydration is a priority for any client with sickle cell crisis
Question 4 of 5
The nurse is assisting a client who has experienced a left-sided cerebral vascular accident. The client requires assistance with personal hygiene. Which intervention should the nurse do initially?
Correct Answer: D
Rationale: Assessing the client’s abilities and deficits first guides appropriate hygiene assistance, considering left-sided neglect or weakness.
Question 5 of 5
The physician has ordered that a 132-pound client with increased intracranial pressure receive 0.5 g of mannitol per kg in an IV solution. How many grams should be in the total mannitol dose? Record your answer using a whole number.
Correct Answer: 30
Rationale: Weight = 132 lb/ 2.2 = 60 kg. Dose = 0.5 g/kg X 60 kg = 30 g.