NCLEX-RN
Practice NCLEX RN Test Questions
Extract:
Question 1 of 5
The nurse is caring for a laboring client who is on an oxytocin infusion. The client experiences seven contractions in a 10-minute time period. The fetal heart rate tracing is a category III. Which action should the nurse take?
Correct Answer: A
Rationale: A category III fetal heart rate tracing indicates fetal distress, and seven contractions in 10 minutes suggest uterine hyperstimulation. Discontinuing oxytocin is the priority to reduce fetal stress.
Question 2 of 5
The nurse has just administered an IM injection to a client. In which of the following ways should the nurse dispose of the needle?
Correct Answer: D
Rationale: Needles should be disposed of immediately in a puncture-resistant container in the client’s room to minimize sharps injury risk.
Question 3 of 5
The physician has ordered atropine sulfate 0.4 mg IM before surgery. The medication is supplied in 0.8 mg per milliliter. The nurse should administer how many milliliters of the medication?
Correct Answer: B
Rationale:
To calculate: 0.4 mg ÷ 0.8 mg/mL = 0.5 mL, the correct dose to administer.
Question 4 of 5
The oncoming nurse receives report on a group of clients. Which client should have priority during the nurse's rounds?
Correct Answer: A
Rationale: A client just returning from surgery requires immediate assessment for postoperative complications, making them the priority.
Question 5 of 5
A patient with hypothyroidism states that she takes Synthroid® 0.112 mg daily, but the pharmacy has issued the drug labeled in micrograms. How many micrograms of Synthroid® is equivalent to 0.112 mg? Record your answer using a whole number.
Correct Answer: 112
Rationale:
To convert milligrams to micrograms, multiply by 1,000: 0.112 mg X 1,000 = 112 micrograms.