NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is performing the skill of intramuscular injection by the Z track method. Which technique would the nurse utilize to prevent tracking of the medication?
Correct Answer: D
Rationale: The Z-track method involves drawing up 0.2 mL of air to create an air lock, preventing medication leakage into subcutaneous tissue. The other options don't address tracking.
Question 2 of 5
The nurse is caring for a client with a history of peptic ulcer disease who is prescribed ranitidine (Zantac). The client asks, “How does this medication help my stomach?” Which of the following responses by the nurse is correct?
Correct Answer: C
Rationale: ranitidine is an H2 receptor blocker that reduces acid production in the stomach
Question 3 of 5
A nurse who is a friend on a social media site with a coworker finds that the coworker has written on the media site confidential information about a well-known client's health history (information obtained from the client's her). What is the most appropriate response?
Correct Answer: D
Rationale: Reporting to a supervisor (
D) ensures proper handling of a HIPAA violation. Directly confronting the coworker (
A) may not ensure compliance, notifying the client (
B) is premature, and doing nothing (
C) ignores the breach.
Question 4 of 5
A client with schizophrenia has been taking Thorazine (chlorpromazine) 200 mg four times a day. Which finding should be reported to the doctor immediately?
Correct Answer: C
Rationale: A sore throat may indicate agranulocytosis, a serious side effect of chlorpromazine, requiring immediate reporting.
Question 5 of 5
When caring for a ventilator-dependent client who is receiving tube feedings, the nurse can help prevent aspiration of gastric secretions by:
Correct Answer: B
Rationale: Elevating the head of the bed 30-45° reduces the risk of aspiration in ventilator-dependent clients.