NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is monitoring the labs of a client admitted with viral hepatitis. Which of the following lab findings would the nurse expect for this client? Select all that apply.
Correct Answer: B, C, D
Rationale: Viral hepatitis typically causes increased AST, elevated ammonia, and low serum albumin due to liver damage, while ALT is usually increased, not decreased, and prothrombin time is prolonged.
Question 2 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 3 of 5
The Z-track injection technique should be used with which of the following? Select all that apply.
Correct Answer: A,B,D
Rationale: Z-track is used for iron (
A), haloperidol (
B), and hydroxyzine (
D) to prevent leakage and irritation. Heparin (
C) and insulin (E) use standard subcutaneous techniques.
Question 4 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 5 of 5
A 5-year-old child is hospitalized for correction of congenital hip dysplasia. During the assessment of the child, the nurse can expect to find the presence of:
Correct Answer: D
Rationale: Trendelenburg sign is associated with congenital hip dysplasia, where the pelvis tilts downward on the unaffected side when the child stands on the affected leg, indicating hip instability.