NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to administer a dose of amoxicillin (Amoxil) to a client with a urinary tract infection. The client reports a history of penicillin allergy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: clarifying the type of allergic reaction is essential, as amoxicillin is a penicillin derivative and could cause a severe reaction
Question 2 of 5
An adolescent client with cystic acne has a prescription for Accutane (isotretinoin). Which lab work is needed before beginning the medication?
Correct Answer: C
Rationale: A liver profile is required before starting isotretinoin due to its potential hepatotoxicity, ensuring safe administration.
Question 3 of 5
A client with human immunodeficiency syndrome has gastrointestinal symptoms, including diarrhea. The nurse should teach the client to avoid:
Correct Answer: D
Rationale: Raw fruits and vegetables may harbor pathogens, increasing infection risk in immunocompromised clients with HIV.
Question 4 of 5
The nurse has an order to give 500 mL of 0.45% NS over 12 hours. The IV set has a drop factor of 10. How many gtts/min should the client receive? Fill in the blank.
Correct Answer: 7
Rationale: Rate = 500 mL ÷ 12 hr = 41.67 mL/hr. Drops/min = (41.67 mL/hr × 10 gtts/mL) ÷ 60 min = 6.94 gtts/min, rounded to 7 gtts/min.
Question 5 of 5
The nurse is preparing to administer streptomycin 0.25 g. The directions say to reconstitute with 9 mL of sterile water for a concentration of 400 mg/2 mL. How many mLs will the nurse give? Fill in the blank.
Correct Answer: 1.25 mL
Rationale: Dose: 0.25 g = 250 mg. Concentration: 400 mg/2 mL = 200 mg/mL. Volume = 250 mg ÷ 200 mg/mL = 1.25 mL.