NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of asthma who is experiencing an acute attack. Which of the following medications should the nurse administer FIRST?
Correct Answer: B
Rationale: albuterol is a fast-acting bronchodilator used to relieve acute asthma symptoms
Question 2 of 5
A 43-year-old client has developed progressive frontotemporal dementia and is exhibiting inappropriate and compulsive behaviors, difficulty with language, and impaired judgment. Which statement by the client's wife suggests that she has not accepted a permanent role change in their relationship?
Correct Answer: A
Rationale: Expecting the husband to manage finances (
A) indicates denial of his impaired judgment due to dementia, suggesting non-acceptance of a permanent role change. Other statements (B, C,
D) reflect frustration or realistic expectations.
Question 3 of 5
The nurse has an order to administer a heparin drip at 12 units/kg/hr. The client weighs 178 pounds. The heparin is available as 25,000 units in 500 mL D5W. At which rate should the nurse program the pump?
Correct Answer: 11.3
Rationale: Weight: 178 lbs ÷ 2.2 = 80.91 kg. Dose: 80.91 × 12 = 970.92 units/hr. Concentration: 25,000 units ÷ 500 mL = 50 units/mL. Rate: 970.92 ÷ 50 = 19.42 mL/hr (rounded to 19.4 mL/hr).
Question 4 of 5
The nurse is caring for a client with a radium implant for the treatment of cervical cancer. While caring for the client with a radioactive implant, the nurse should:
Correct Answer: B
Rationale: Standing at the foot of the bed minimizes radiation exposure by maximizing distance, adhering to radiation safety principles.
Question 5 of 5
An elderly client with moderate Alzheimer's disease lives with her daughter and appears dirty and disheveled and has lost five pounds over the previous month. Which of the following does the nurse suspect?
Correct Answer: B
Rationale: The client's dirty, disheveled appearance and weight loss suggest caregiver neglect (
B), as the daughter may not be providing adequate care. Physical abuse (
A) would involve evidence of injury, self-neglect (
C) is unlikely given the client's Alzheimer's, and psychological abuse (
D) involves emotional harm, not physical neglect.