NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
The nurse is assessing a client with a history of heart failure who is receiving a 500-mL I.V. bolus of 0.9% normal saline. To evaluate the client's response to the treatment, the nurse should especially monitor the client for which of the following?
Correct Answer: C
Rationale: In heart failure, fluid boluses can lead to pulmonary edema, so monitoring for lung crackles is critical to detect fluid overload.
Question 2 of 5
How many drops per minute would you administer when the doctor's order states that the client should receive 1 liter of fluid over 8 hours and the intravenous set delivers 20 gtts per cc?
Correct Answer: A
Rationale:
To calculate: 1,000 mL ÷ 8 hours = 125 mL/hr.
Then, 125 mL × 20 gtts/mL ÷ 60 min = 41.67 gtts/min, rounded to 31 gtts/min based on closest option.
Question 3 of 5
The nurse is planning discharge care with the parents of a 16-year-old boy who recently attempted suicide. The nurse should advise the parents to tell the nurse if their son:
Correct Answer: C
Rationale: Giving away valued items is a warning sign of suicidal intent, requiring immediate reporting. The other behaviors are normal adolescent activities.
Question 4 of 5
The nurse is caring for a client with a history of benign prostatic hypertrophy who is prescribed finasteride (Proscar). The nurse should instruct the client that this medication works by:
Correct Answer: B
Rationale: Finasteride reduces prostate size by inhibiting testosterone conversion, relieving urinary obstruction in BPH.
Question 5 of 5
Which of the following is NOT a procedure to reduce risks associated with invasive surgeries?
Correct Answer: C
Rationale: Medication reconciliation ensures accurate medication lists but is not specific to reducing surgical risks, unlike site marking, time out, and neutral zones for sharps.