NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client receiving IV vancomycin. The trough level is 14 mcg/mL. The next dose is now due. What is the correct response by the nurse?
Correct Answer: A
Rationale: A trough level of 14 mcg/mL is within the therapeutic range (10–20 mcg/mL) for vancomycin, so the next dose can be given as ordered.
Question 2 of 5
The nurse knows the best intervention for preventing a postoperative infection is
Correct Answer: D
Rationale: Hand hygiene is the most effective intervention to prevent postoperative infections, reducing pathogen transmission.
Question 3 of 5
The nurse is caring for a client with a closed head injury. Fluid is assessed leaking from the ear. The nurse's first action will be to:
Correct Answer: C
Rationale: Fluid leaking from the ear may indicate cerebrospinal fluid (CSF) leakage, a serious complication. Testing for glucose (positive in CSF) is the first step to confirm the nature of the drainage.
Question 4 of 5
A client with AIDS-related cytomegalovirus is started on Cytovene (ganciclovir). The nurse should tell the client that the medication will be needed:
Correct Answer: D
Rationale: Ganciclovir is typically required lifelong for AIDS-related cytomegalovirus to prevent recurrence.
Question 5 of 5
A pregnant woman undergoes a 40-minute nonstress test for evaluation of the fetal heart rate (FHR) and accelerations. Which of the following test results is normal (reactive)?
Correct Answer: C
Rationale: A reactive nonstress test requires at least two accelerations of FHR by 15 bpm for 15 seconds within 20-40 minutes. No accelerations (
C) is considered normal (reactive) if other criteria are met, but typically, accelerations are expected. Options A, B, D do not meet standard reactive criteria.