NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is aware that African-Americans are at higher risk than Caucasians for which of the following conditions? Select all that apply.
Correct Answer: A,B
Rationale: African-Americans have a higher risk for hypertension (
A) and diabetes mellitus (
B) compared to Caucasians due to genetic and socioeconomic factors. Asthma (
C) risk is similar across groups, while skin cancer (
D) and osteoporosis (E) are less prevalent in African-Americans.
Question 2 of 5
A nurse needs to draw a blood sample from a patient's central line. The line is currently infusing Ringer's lactate. In which order should the nurse take the following steps to draw the blood sample? Number the steps below.
Order the Items
Source Container
Correct Answer: B,D,C,A,E
Rationale: Order: Stop infusion (
B), scrub hub (
D), withdraw/discard blood (
C), flush with saline (
A), withdraw lab sample (E). This ensures a clean, accurate sample.
Question 3 of 5
A child is to receive heparin sodium 5 units per kilogram of body weight by subcutaneous route every 4 hours. The child weighs 52.8 lb. How many units should the child receive in a 24-hour period?
Correct Answer: C
Rationale: Weight: 52.8 lb ÷ 2.2 = 24 kg. Dose: 5 units/kg × 24 kg = 120 units every 4 hours. 24 hours ÷ 4 = 6 doses/day. 120 × 6 = 720 units/day.
Question 4 of 5
An ICU nurse monitors a client recovering from a head injury. The client's intracranial pressure (ICP) has been between 15 and 19 mmHg throughout the shift. However, after the nurse suctions the client's endotracheal tube, the ICP jumps to 28 mmHg. It decreases a few minutes later to 20 mmHg. The best intervention by the nurse is to
Correct Answer: D
Rationale: A sudden ICP spike to 28 mmHg post-suctioning suggests a significant issue (e.g., impaired cerebral perfusion). The physician should be contacted for evaluation.
Question 5 of 5
The nurse is caring for a 36-year-old female recently diagnosed with Addison's disease. The nurse recognizes further teaching is needed if the client states,
Correct Answer: A
Rationale: Addison’s disease requires increased salt intake due to aldosterone deficiency. Lifelong hormone therapy, medical alert bracelets, and monitoring for adrenal crisis are correct.