NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The physician has ordered a culture for the client with suspected gonorrhea. The nurse should obtain a culture of:
Correct Answer: D
Rationale: Gonorrhea is diagnosed by culturing genital secretions.
Question 2 of 5
A child is to receive heparin sodium 5 units per kilogram of body weight by subcutaneous route every 4 hours. The child weighs 52.8 lb. How many units should the child receive in a 24-hour period?
Correct Answer: C
Rationale: Weight: 52.8 lb ÷ 2.2 = 24 kg. Dose: 5 units/kg × 24 kg = 120 units every 4 hours. 24 hours ÷ 4 = 6 doses/day. 120 × 6 = 720 units/day.
Question 3 of 5
A 38-year-old woman, mother of two, has a mastectomy for breast cancer. When she returns to the physician’s office a month later for a routine check-up, the nurse asks the client how she has been. Which of the following responses, if made by the client to the nurse, indicates that the client is experiencing a normal reaction to the surgery?
Correct Answer: B
Rationale: normal reaction one month later
Question 4 of 5
A client has a CVP monitor in place. Which would be included in the nursing care plan for this client?
Correct Answer: A
Rationale: CVP readings outside 3-8 cm of water may indicate fluid imbalance or catheter issues, requiring physician notification to prevent complications.
Question 5 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.