NCLEX Questions, NCLEX RN Practice Questions Questions, NCLE

Extract:

Question 1 of 5

The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus (MRSA). Which action by the nurse indicates an understanding regarding the care of clients with MRSA?

Correct Answer: A

Rationale: Leaving the stethoscope in the room prevents MRSA transmission, as it avoids contaminating other areas or clients.

Question 2 of 5

The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

A. The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer. B. The nurse loosely suspends the client's arm in an open hand while tapping the back of the client's elbow. C. The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer. D. The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist.

Correct Answer: A

Rationale: The biceps reflex is elicited by placing the thumb on the biceps tendon in the antecubital space and tapping it with a reflex hammer.

Question 3 of 5

The transverse plane

A. divides the body into superior and inferior sections. B. divides the body into right and left halves. C. divides the body into four sections cut diagonally. D. divides the body into ventral and dorsal sections.

Correct Answer: A

Rationale: The transverse plane divides the body horizontally into superior (upper) and inferior (lower) sections.

Question 4 of 5

The nurse is preparing to administer regular insulin by continuous IV infusion to a client with diabetic ketoacidosis. The nurse should:

A. Mix the insulin with Dextrose 5% in Water B. Flush the IV tubing with the insulin solution and discard the first 50 mL C. Avoid using a pump or controller with the infusion D. Mix the insulin with Ringer's lactate

Correct Answer: B

Rationale: Flushing the IV tubing with insulin and discarding the first 50 mL prevents insulin binding to the tubing, ensuring accurate dosing.

Question 5 of 5

The nurse is caring for a client taking vancomycin. The nurse anticipates drawing a peak and trough on this client. Which statement regarding peak and trough levels is correct?

A. The peak is drawn 1 hour after the infusion, and the trough is drawn right before the next scheduled dose. B. The peak is drawn 2 hours after the infusion, and the trough is drawn 1 hour before the next scheduled dose. C. The peak should be drawn immediately after infusion, and the trough is drawn right before the next scheduled dose. D. The peak should be drawn 30 minutes before the next scheduled dose, and the trough drawn immediately after the infusion.

Correct Answer: A

Rationale: The peak is drawn 1 hour after infusion to measure maximum concentration, and the trough is drawn just before the next dose to measure minimum concentration.

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Extract:

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

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