NCLEX-RN
Free NCLEX RN Exam Practice Questions Questions
Extract:
Question 1 of 5
The nurse is teaching a client with a new diagnosis of epilepsy about medication adherence. Which of the following instructions is most important?
Correct Answer: A
Rationale: Taking antiepileptic medication exactly as prescribed is critical to prevent seizures.
Question 2 of 5
How many mLs will you administer to the client after you use 3.3 mL of normal saline to reconstitute a medication that will yield 12 mg per mL and the doctor's order is as follows. Doctor's order: 25 mg of medication BID
Correct Answer: D
Rationale:
To calculate: 25 mg ÷ 12 mg/mL = 2.083 mL, rounded to 2.1 mL for practical administration.
Question 3 of 5
A client with a history of type 2 diabetes is prescribed insulin glargine (Lantus). The nurse should instruct the client to:
Correct Answer: A
Rationale: Insulin glargine, a long-acting insulin, is typically taken at bedtime for basal coverage.
Question 4 of 5
A client diagnosed with refractory myasthenia gravis is told by the primary health care provider that plasmapheresis therapy is indicated. When the client asks the nurse to repeat the primary health care provider's reason for prescribing this treatment, the nurse should tell the client that this therapy will most likely improve which problem?
Correct Answer: B
Rationale: Plasmapheresis is a process that separates the plasma from the blood elements so that plasma proteins that contain antibodies can be removed. It is used as an adjunct therapy in myasthenia gravis and may give temporary relief to clients with actual or impending respiratory failure. Usually 3 to 5 treatments are required. This therapy is not indicated for the reasons listed in any of the other options.
Question 5 of 5
A client with a fractured femur is in skeletal traction. The nurse should assess for which of the following complications?
Correct Answer: A, D
Rationale: Fat embolism is a risk with long bone fractures, and pressure ulcers can develop due to immobility in traction.