NCLEX-RN
NCLEX RN Free Practice Questions Questions
Extract:
Question 1 of 5
The physician has ordered Dilantin (phenytoin) 100 mg intravenously for a client with generalized tonic clonic seizures. The nurse should administer the medication:
Correct Answer: C
Rationale: Phenytoin must be administered slowly (over 2-3 minutes) to prevent cardiovascular complications like hypotension or arrhythmias. It should not be mixed with dextrose or given rapidly.
Question 2 of 5
The nurse is caring for a client with a history of sickle cell anemia. Which intervention is most important during a sickle cell crisis?
Correct Answer: A
Rationale: Sickle cell crisis causes vaso-occlusion, reducing tissue oxygenation. Administering oxygen is the priority to prevent hypoxia. Cold packs worsen vasoconstriction, rest is secondary, and antibiotics are for infections.
Question 3 of 5
The clinic nurse is teaching a co-worker regarding medication administration. The nurse is aware that which of the following medications are category X medications and should not be taken by the client during pregnancy?
Correct Answer: A, B
Rationale: Category X medications, like minocycline (
A) and tazarotene (Tazorac,
B), are contraindicated in pregnancy due to fetal harm. Calcipotriene (Devonex,
C), levothyroxine (
D), and cefazolin (E) are safer (categories B or
C).
Question 4 of 5
The nurse is caring for a client hospitalized with bipolar disorder, manic phase. Which of the following snacks would be best for the client?
Correct Answer: C
Rationale: An apple is a healthy, easy-to-eat snack that provides nutrition without excessive sodium (chips), caffeine (cola), or high calories (milkshake), suitable for a manic client needing stability.
Question 5 of 5
The nurse is removing a peripherally inserted central catheter (PICC). The nurse should position the patient in which position?
Correct Answer: D
Rationale: Trendelenburg position (head down) is used when removing a PICC line to reduce the risk of air embolism by increasing venous pressure. Fowler’s, right, or left side-lying positions do not provide this protection.