NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
The nurse is assessing a client following the removal of a pituitary tumor. The nurse notes that the urinary output has increased and that the urine is very dilute. The nurse should give priority to:
Correct Answer: A
Rationale: Increased dilute urine suggests diabetes insipidus, a complication of pituitary surgery, requiring immediate physician notification for evaluation and treatment.
Question 2 of 5
The nurse is caring for clients on a respiratory unit. Upon receiving the following client reports, which client should be seen first?
Correct Answer: C
Rationale: Edema and neck vein distention in a bronchitis client suggest heart failure, a critical condition requiring immediate assessment. The other clients are stable or less urgent.
Question 3 of 5
Prochlorperazine maleate (Compazine) 10 mg IM has been ordered for a client. The client is also to receive Stadol 2 mg IM. Before administering these medications, the nurse should
Correct Answer: C
Rationale: Compazine should be considered incompatible in a syringe with all other medications
Question 4 of 5
The nurse administers ciproflaxin to a client and then realizes that the client is allergic to the medication. What nursing action is the priority for this client?
Correct Answer: D
Rationale: Notifying the health care provider is the priority to initiate immediate management of a potential allergic reaction, followed by monitoring and reporting.
Question 5 of 5
A child who weighs 40 kg is prescribed clarithromycin 15 mg/kg per day for 10 days in two divided doses for acute strep throat. If the medication is provided in suspension with 250 mg/5 mL, how many total milliliters of medication are required to complete the treatment? Record your answer using a whole number.
Correct Answer: 120
Rationale: Daily dose = 15 mg/kg X 40 kg = 600 mg/day. For 10 days, total dose = 600 X 10 = 6,000 mg. Suspension is 250 mg/5 mL, so 1 mg = 0.02 mL. Thus, 6,000 mg X 0.02 mL/mg = 120 mL.