NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is precepting a student nurse in the ICU. Which statement regarding student nurses is correct? Select all that apply.
Correct Answer: B,D,E
Rationale: Student nurses can assist with tasks like repositioning (
B), provide care under supervision (
D), and discuss cases in educational settings without identifiers (E). They cannot administer medications independently (
A) or determine interventions (
C).
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
A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect to find that the client has:
Correct Answer: A
Rationale: Acute adrenal crisis causes low blood pressure due to insufficient cortisol and aldosterone, leading to hypovolemia and shock.
Question 4 of 5
A woman comes to a community health clinic and expresses concern she may have been exposed to HIV. The community nurse draws blood for an ELISA test, which comes back as positive. The nurse should
Correct Answer: B
Rationale: A positive ELISA requires confirmation with a Western blot test to diagnose HIV, ensuring accuracy and reducing false positives.
Question 5 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).