NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
Which of the following statements by a client with a seizure disorder who is taking topiramate (Topamax) indicates that the client has understood the nurse's instruction?
Correct Answer: B
Rationale:
Topiramate increases the risk of kidney stones, so adequate hydration (8-10 glasses of water daily) is essential to prevent this complication.
Question 2 of 5
The nurse is preparing to administer insulin to a client with type 1 diabetes mellitus. The client is to receive 10 units of regular insulin and 20 units of NPH insulin. Which of the following actions by the nurse is correct?
Correct Answer: A
Rationale: regular insulin is drawn up first, followed by NPH, to prevent contamination of the regular insulin with NPH
Question 3 of 5
A client has orders for a heparin drip with 20,000 units in a 250 mL bag. The heparin must be delivered at 854 units per hour. What rate will the nurse set for the IV?
Correct Answer: 10.7 mL/hr.
Rationale: Concentration: 20,000 units/250 mL = 80 units/mL. Rate: 854 units/hr ÷ 80 units/mL = 10.675 mL/hr, rounded to 10.7 mL/hr.
Question 4 of 5
The nurse has just returned to the desk and has four phone messages to return. Which of the following messages should the nurse return FIRST?
Correct Answer: B
Rationale: indicates chest pain, needs to seek medical attention immediately
Question 5 of 5
A client with iron-deficiency anemia is taking an oral iron supplement. The nurse should tell the client to take the medication with:
Correct Answer: A
Rationale: Orange juice, rich in vitamin C, enhances the absorption of oral iron supplements.