NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is caring for clients on the postpartum unit. Which of the following should the nurse assess first?
Correct Answer: C
Rationale: A placenta delivered 10 minutes after the infant is at risk for retained fragments, which can cause postpartum hemorrhage, requiring immediate assessment.
Question 2 of 5
The nurse is caring for a client who just arrived in the PACU following a colonoscopy with polyp removal. The client's level of sedation is assessed using the Ramsay Sedation Scale (RSS). The client responds quickly, but only to commands. What Ramsay score would the nurse chart for this client?
Correct Answer: C
Rationale: RSS 3 indicates a client who responds quickly to commands only, matching the description, per the Ramsay Sedation Scale.
Question 3 of 5
The client admitted 2 days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?
Correct Answer: C
Rationale: Covering the insertion site with Vaseline gauze prevents air from entering the pleural space, which is the priority action for a dislodged chest tube.
Question 4 of 5
A child weighing 20 kg is to receive 45 mg/kg of amoxicillin per day in a divided dose every 12 hours. The oral suspension contains 250 mg/5 mL. How many milliliters should the child receive in each dose? Record your answer using a whole number.
Correct Answer: 9
Rationale: Daily dose = 45 mg/kg X 20 kg = 900 mg/day. Divided every 12 hours = 450 mg/dose. Suspension is 250 mg/5 mL, so 450 mg X (5 mL/250 mg) = 9 mL/dose.
Question 5 of 5
A 14-year-old boy comes in for a yearly exam and confides in the nurse that he feels embarrassed he is shorter than most of the girls in his class. He asks if he will catch up in height. The best therapeutic response from the nurse is
Correct Answer: B
Rationale: This response validates the boy’s feelings, provides factual reassurance about growth during puberty, and is empathetic without dismissing his concerns.