NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The nurse is preparing to give an oral potassium supplement. The nurse should give the medication:
Correct Answer: B
Rationale: Oral potassium supplements should be diluted with at least 4 oz. of juice to reduce gastrointestinal irritation.
Question 2 of 5
A client is admitted to the chemical dependency unit for poly-drug abuse. The client states, 'I don't know why you are all so worried; I am in control. I don't have a problem.' Which defense mechanism is being utilized?
Correct Answer: D
Rationale: Denial is the defense mechanism where the client refuses to acknowledge the reality of their substance abuse problem, minimizing its severity.
Question 3 of 5
Which assignment should not be performed by the registered nurse?
Correct Answer: D
Rationale: Inserting sutures and clips is a surgical procedure typically performed by a surgeon, not a registered nurse.
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
A 15-year-old client took a full bottle of extra-strength acetaminophen in a suicide attempt 5 hours prior to admission to the emergency department for treatment, and the serum level of the drug is 180 mcg/mL. Which of the following interventions does the nurse anticipate? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Acetaminophen overdose requires NAC (
A), supportive care (
B), charcoal if within 4-8 hours (
C), hepatic monitoring (
D), and psychiatric consultation (E) for suicide attempt.