NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The Z-track injection technique should be used with which of the following? Select all that apply.
Correct Answer: A,B,D
Rationale: Z-track is used for iron (
A), haloperidol (
B), and hydroxyzine (
D) to prevent leakage and irritation. Heparin (
C) and insulin (E) use standard subcutaneous techniques.
Question 2 of 5
A client diagnosed with COPD is receiving theophylline. Morning laboratory values reveal a theophylline level of 38 mcg/mL. The most appropriate action by the nurse would be to:
Correct Answer: B
Rationale: A theophylline level of 38 mcg/mL is toxic (therapeutic range: 10-20 mcg/mL), requiring immediate physician notification to prevent complications like seizures.
Question 3 of 5
A 37-year-old postpartum client explains to the nurse she had a deep vein thrombosis (DVT) after the birth of her last child. To help prevent a DVT during this hospital stay, the nurse should encourage the client to do all of the following EXCEPT
Correct Answer: C
Rationale: Ambulation promotes circulation and prevents DVT. Limiting ambulation increases risk. Stockings, hydration, and leg elevation reduce DVT risk.
Question 4 of 5
A nurse manager and a case manager are talking to a group of new nurses about the differences of case management and care coordination. The nurse manager understands which to be true regarding the differences?
Correct Answer: C
Rationale: Case management focuses on holistic care and client-family dynamics, coordinating resources to meet complex needs. Other options are less accurate or incomplete.
Question 5 of 5
Parents of a toddler are dismayed when they learn that their child has Duchenne's muscular dystrophy. Which statement describes the inheritance pattern of the disorder?
Correct Answer: D
Rationale: Duchenne's muscular dystrophy is an X-linked recessive disorder, with the affected gene on the mother's X chromosome, primarily affecting males.