NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is aware that a common mode of transmission of clostridium difficile is:
Correct Answer: D
Rationale: C. difficile is transmitted via fecal-oral route through contaminated stool.
Question 2 of 5
A client has been hospitalized with a diagnosis of laryngeal cancer. Which factor is most significant in the development of laryngeal cancer?
Correct Answer: D
Rationale: Frequent alcohol and tobacco use is the most significant risk factor for laryngeal cancer due to chronic irritation and carcinogenic effects on laryngeal tissues.
Question 3 of 5
When planning the care for a client after a posterior fossa (infratentorial) craniotomy, which action is contraindicated?
Correct Answer: B
Rationale: Elevating the head of the bed can increase intracranial pressure in posterior fossa craniotomy clients due to disruption of cerebrospinal fluid flow, making it contraindicated.
Question 4 of 5
An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse's discharge teaching?
Correct Answer: A
Rationale: Avoiding straddling activities like rocking horses prevents strain on the surgical site post-hypospadias repair.
Question 5 of 5
The nurse has an order to give 500 mL of 0.45% NS over 12 hours. The IV set has a drop factor of 10. How many gtts/min should the client receive? Fill in the blank.
Correct Answer: 7
Rationale: Rate = 500 mL ÷ 12 hr = 41.67 mL/hr. Drops/min = (41.67 mL/hr × 10 gtts/mL) ÷ 60 min = 6.94 gtts/min, rounded to 7 gtts/min.