NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The wife of a client with colorectal cancer (CRC) is talking to the nurse about prevention and screening of the disease. Which statement should the nurse make to the wife?
Correct Answer: A
Rationale: A low-fat, high-fiber diet with fruits reduces CRC risk. Screening begins at 45 for average risk, with colonoscopy every 10 years or fecal occult blood test annually.
Question 2 of 5
Place the steps for an abdominal assessment in the correct order.
Order the Items
Source Container
Correct Answer: C,A,D,B
Rationale: Abdominal assessment order: inspection (visual assessment), auscultation (bowel sounds before manipulation), percussion (assess density), palpation (last to avoid altering bowel sounds).
Question 3 of 5
A client has had a central catheter inserted for administration of parenteral nutrition. An X-ray was taken to ensure correct positioning prior to commencing infusions. The X-ray report indicates that the catheter tip is in the right atrium. Which of the following actions by the nurse is correct?
Correct Answer: A
Rationale: Catheter tip in the right atrium is too far; infusion should be held and the MD notified (
A) for repositioning. Adjusting the catheter (B,
D) or starting infusion (
C) is unsafe.
Question 4 of 5
Which type of laxative agent is usually the safest for most people?
Correct Answer: A
Rationale: Bulk laxatives (
A), like fiber, are safest, promoting natural bowel movements with minimal side effects. Other types (B, C,
D) may cause dependency or electrolyte imbalances.
Question 5 of 5
A child weighing 20 kg is to receive 45 mg/kg of amoxicillin per day in a divided dose every 12 hours. The oral suspension contains 250 mg/5 mL. How many milliliters should the child receive in each dose? Record your answer using a whole number.
Correct Answer: 9
Rationale: Daily dose = 45 mg/kg X 20 kg = 900 mg/day. Divided every 12 hours = 450 mg/dose. Suspension is 250 mg/5 mL, so 450 mg X (5 mL/250 mg) = 9 mL/dose.