NCLEX-RN
NCLEX RN Practice Test Free Questions
Extract:
Question 1 of 5
The nurse plans on administering a medication using the Z-track intramuscular technique. The nurse knows the following steps are required during the procedure. Select all that apply.
Correct Answer: A,C
Rationale: Z-track requires an air lock (
A) to seal medication and a new needle (
C) to prevent tracking. The needle is inserted at 90 degrees, not 45 (
D), and various muscles can be used (B is not mandatory).
Question 2 of 5
A home health nurse finds the client lying unconscious in the doorway of her bathroom. The nurse checks for responsiveness by gently shaking the client and calling her name. When it is determined that the client is nonresponsive, the nurse should:
Correct Answer: C
Rationale: Opening the airway is the first step in managing an unresponsive client to ensure adequate ventilation.
Question 3 of 5
The blood alcohol concentration of a client admitted following a motor vehicle accident is 460 mg/dL. The nurse should give priority to monitoring the client for:
Correct Answer: B
Rationale: A blood alcohol concentration of 460 mg/dL (0.46%) is life-threatening, with respiratory depression being the priority due to its potential to cause death.
Question 4 of 5
If a client has had repair of a right fractured hip and has an overhead trapeze on the bed to assist with movement, which of the following instructions should the client receive about use of the assistive device? Select all that apply.
Correct Answer: A,C
Rationale: Using both hands on the trapeze (
A) and flexing the left leg (
C) assist safe movement post-right hip repair. Using one hand (
B) or keeping the leg extended (
D) is less effective.
Question 5 of 5
A nurse performing a newborn assessment would expect what respiratory rate and heart rate as a normal finding?
Correct Answer: C
Rationale: Newborns have a respiratory rate of 30-60 breaths/min and heart rate of 120-160 beats/min. Option C (RR 46, HR 153) is within normal ranges.