NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
The physician has ordered Claforan (cefotaxime) 1 g every 6 hours. The pharmacy sends the medication premixed in 100 mL of D5W with instructions to infuse the medication over 1 hour. The IV set delivers 20 drops per milliliter. The nurse should set the IV rate at:
Correct Answer:
Rationale:
Question 2 of 5
Which of the following are controlled substances (Schedules I through V) regulated by the Drug Enforcement Agency (DEA)? Select all that apply.
Correct Answer: A,D
Rationale: Codeine (
A) and hydrocodone (
D) are DEA-controlled substances (Schedules II-V). Ibuprofen (
B) and diphenhydramine (
C) are not controlled.
Question 3 of 5
The charge nurse is making an assignment for an LPN on an upcoming shift. Which assignment would be appropriate?
Correct Answer: B
Rationale: Vital sign monitoring is within the LPN’s scope. Seizure management, blood transfusions, and discharge teaching require RN expertise.
Question 4 of 5
A client is recovering from a stroke and the nurse is doing range-of-motion exercises. Which movements should be included for ROM of the elbow on the weak side? Select all that apply.
Correct Answer: C,D
Rationale: Elbow ROM includes supination/pronation (
C) and flexion/extension (
D). Abduction/adduction (
A), hyperextension (
B), and rotation (E) are not applicable to the elbow joint.
Question 5 of 5
A client is prescribed heparin 2,000 units SC q8 hours. The pharmacy sends heparin 5,000 units/mL. How many mL should the nurse administer every 24 hours?
Correct Answer: C
Rationale: Dose per injection: 2,000 units ÷ 5,000 units/mL = 0.4 mL. Q8 hours = 3 doses/day. 0.4 mL × 3 = 1.2 mL/day.