NCLEX-RN
NCLEX RN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is talking to a client and his family about hepatitis. Which of the following statements by a family member indicate understanding of the nurse's teaching? Select all that apply.
Correct Answer: A, B, D, E
Rationale: Hepatitis D requires hepatitis B, hepatitis A is year-round and spread via contaminated food/water, and hepatitis B is transmitted through blood/body fluids. Hepatitis D is not waterborne.
Question 2 of 5
The nurse is delegating tasks to an experienced, unlicensed assistive personnel (UAP). Which of the following clients should the nurse delegate to the UAP?
Correct Answer: C
Rationale: Ambulating a client is within a UAP’s scope, requiring minimal clinical judgment, unlike wound care, tracheostomy care, or pain assessment.
Question 3 of 5
The nurse is caring for a client admitted with congestive heart failure. Which finding would the nurse expect if the failure was on the right side of the heart?
Correct Answer: A
Rationale: Right-sided heart failure causes systemic venous congestion, leading to jugular vein distention, a hallmark sign of impaired right heart function.
Question 4 of 5
A client was to receive 1 g of vancomycin intravenously in 200 mL of iso-osmotic solution over 60 minutes per infusion pump. However, the IV administration was discontinued after 45 minutes because the client developed nausea and chills. How many milligrams of vancomycin did the client receive? Record your answer using a whole number.
Correct Answer: 750
Rationale: 1 g = 1000 mg in 200 mL over 60 min. In 45 min, 45/60 = 0.75 of dose = 0.75 X 1000 = 750 mg.
Question 5 of 5
A 5-month-old infant is admitted to the ER with a temperature of 103.6°F and irritability. The mother states that the child has been listless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:
Correct Answer: B
Rationale: Tenseness of the anterior fontanel indicates increased intracranial pressure, a critical finding in bacterial meningitis in infants.