NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
Which vitamin should be administered with INH (isoniazid) in order to prevent possible nervous system side effects?
Correct Answer: C
Rationale: Pyridoxine (vitamin B6) is given with isoniazid to prevent peripheral neuropathy, a potential side effect of the medication.
Question 2 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 3 of 5
A 49-year-old female suffered a stroke that resulted in dysphagia. The dietician orders a diet of dysphagia-pureed foods. Which of the following foods would be an appropriate choice?
Correct Answer: C
Rationale: Custard is smooth and pureed, suitable for a dysphagia diet. Other options pose choking risks due to texture.
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
The nurse is caring for a client admitted with chest pain and atrial fibrillation. The nurse accidentally gives the client the wrong dose of digoxin. The client is monitored throughout the shift and no ill effects are noted. Which actions by the nurse are correct? Select all that apply.
Correct Answer: C
Rationale: Filling out an incident report and notifying the provider immediately are necessary to address the medication error and ensure client safety, even if no ill effects were observed.