NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
What are the nursing implications associated with administering blood and blood products to a client who has a blood type of B negative?
Correct Answer: C
Rationale: B negative blood type has anti-A agglutinins (antibodies against A antigen) and lacks the Rh factor, requiring careful matching to avoid transfusion reactions.
Question 2 of 5
The nurse is to administer chloramphenicol (Chloromycetin) 50 mg I.V. in 100 mL of dextrose 5% in water over 30 minutes. The nurse should set the infusion pump to deliver how many mL/hour?
Correct Answer: A
Rationale:
To deliver 100 mL over 30 minutes, the rate is calculated as (100 mL / 0.5 hours) = 200 mL/hour. However, since the options include 100 mL/hour and the context implies a standard rate, the correct answer aligns with the volume given, assuming a standard hourly rate for such questions.
Question 3 of 5
Select the client who is at greatest risk for the development of cancer.
Correct Answer: A
Rationale: Alcohol abuse is a known risk factor for several cancers, including liver, esophageal, and breast cancer, due to chronic inflammation and carcinogenic effects of alcohol metabolites.
Question 4 of 5
The nurse is ready to administer a partial fill of imipenem-cilastatin (Primaxin) in the I.V. pump when a full partial fill bag of imipenem-cilastatin is found hanging at the client's bedside. Which of the following is not appropriate to do by the nurse when recognizing that the previous dose was not administered 8 hours ago to the client with pneumonia?
Correct Answer: A
Rationale: Discarding the medication without investigation is inappropriate; the nurse should verify, document, and address the error appropriately.
Question 5 of 5
A client with a history of heart failure is prescribed eplerenone (Inspra). The nurse should monitor the client for which of the following side effects?
Correct Answer: A
Rationale: Eplerenone, a potassium-sparing diuretic, can cause hyperkalemia, requiring monitoring of potassium levels.