NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is caring for a client who recently experienced a massive stroke. Which of the following statements by the spouse indicates a need for further teaching by the nurse?
Correct Answer: B
Rationale: Returning to work full time immediately after discharge may not be feasible due to the care needs of a client post-massive stroke, indicating a need for further education about caregiving demands.
Question 2 of 5
A client has orders for ampicillin 350 mg IM daily. The directions state to reconstitute with 3.5 mL of sterile water for a concentration of 500 mg/mL. How much will the nurse give?
Correct Answer: 0.7 mL
Rationale: Concentration: 500 mg/mL. Dose: 350 mg. Volume = 350 mg ÷ 500 mg/mL = 0.7 mL.
Question 3 of 5
A 15-year-old client took a full bottle of extra-strength acetaminophen in a suicide attempt 5 hours prior to admission to the emergency department for treatment, and the serum level of the drug is 180 mcg/mL. Which of the following interventions does the nurse anticipate? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Acetaminophen overdose requires NAC (
A), supportive care (
B), charcoal if within 4-8 hours (
C), hepatic monitoring (
D), and psychiatric consultation (E) for suicide attempt.
Question 4 of 5
A client diagnosed with COPD is receiving theophylline. Morning laboratory values reveal a theophylline level of 38 mcg/mL. The most appropriate action by the nurse would be to:
Correct Answer: B
Rationale: A theophylline level of 38 mcg/mL is toxic (therapeutic range: 10-20 mcg/mL), requiring immediate physician notification to prevent complications like seizures.
Question 5 of 5
A 56-year-old male with a long history of alcohol abuse is brought to the detox center per terms of his probation. He had his last drink 6 hours ago and seems confused and agitated. The nurse expects the physician to order
Correct Answer: B
Rationale: Chlordiazepoxide (Librium), a benzodiazepine, is used to manage alcohol withdrawal symptoms like confusion and agitation, preventing seizures.