NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
Which finding is associated with secondary syphilis?
Correct Answer: D
Rationale: Secondary syphilis is characterized by a generalized rash, often on the palms and soles.
Question 2 of 5
While caring for a client with hypertension, the nurse notes the following vital signs: BP of 140/20, pulse 120, respirations 36, temperature 100.8°F. The nurse's initial action should be to:
Correct Answer: B
Rationale: Rechecking vital signs ensures accuracy, as the low diastolic BP may be an error, and guides further action.
Question 3 of 5
The first-time mother of a 6-month old infant is concerned that the child's physical development is delayed because the child cannot crawl. Which of the following is the most appropriate response?
Correct Answer: A
Rationale: Most infants crawl by 9 months (
A), reassuring the mother while acknowledging normal variation. Other responses (B, C,
D) are less specific or dismissive.
Question 4 of 5
The nurse has an order to administer a heparin drip at 12 units/kg/hr. The client weighs 178 pounds. The heparin is available as 25,000 units in 500 mL D5W. At which rate should the nurse program the pump?
Correct Answer: 11.3
Rationale: Weight: 178 lbs ÷ 2.2 = 80.91 kg. Dose: 80.91 × 12 = 970.92 units/hr. Concentration: 25,000 units ÷ 500 mL = 50 units/mL. Rate: 970.92 ÷ 50 = 19.42 mL/hr (rounded to 19.4 mL/hr).
Question 5 of 5
The nurse is caring for clients in outpatient surgery. The mother of a four-year-old asks the nurse how to prepare her daughter for eye surgery. Which of the following statements by the nurse is BEST?
Correct Answer: C
Rationale: use puppet or doll to show where procedure is performed; explain procedure in simple terms and what the child will see, hear, taste, smell, and feel