NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is assisting in the care of a client with diverticulosis. Which of the following assessment findings must necessitate an immediate report to the doctor?
Correct Answer: D
Rationale: Low hemoglobin (26%) and hematocrit (32) suggest significant bleeding, requiring immediate reporting for further evaluation.
Question 2 of 5
The nurse is caring for a client with a history of bipolar disorder who is admitted during a manic episode. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: a quiet, low-stimulation environment helps reduce agitation and promote safety during a manic episode
Question 3 of 5
A teenage girl is brought to the outpatient psychiatric clinic for treatment of anxiety and depression. How should the nurse best evaluate the client's risk for suicide?
Correct Answer: A
Rationale: Directly asking about suicidal thoughts or plans is the most effective way to assess suicide risk, as it encourages open communication and identifies intent.
Question 4 of 5
The client has an order for Claforan 665 mg. The directions say to reconstitute with 10 mL of bacteriostatic water to yield a concentration of 95 mg/mL. How many milliliters of solution should the nurse administer to give the dose of 665 mg?
Correct Answer: 7 mL
Rationale: Dose: 665 mg. Concentration: 95 mg/mL. Volume: 665 mg ÷ 95 mg/mL = 7 mL.
Question 5 of 5
The nurse is performing the skill of intramuscular injection by the Z track method. Which technique would the nurse utilize to prevent tracking of the medication?
Correct Answer: D
Rationale: The Z-track method involves drawing up 0.2 mL of air to create an air lock, preventing medication leakage into subcutaneous tissue. The other options don't address tracking.