NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:
Correct Answer: A
Rationale: A fundus displaced to the right suggests bladder distention, which can be resolved by asking the client to void.
Question 2 of 5
A client has orders for ampicillin 350 mg IM daily. The directions state to reconstitute with 3.5 mL of sterile water for a concentration of 500 mg/mL. How much will the nurse give?
Correct Answer: 0.7 mL
Rationale: Concentration: 500 mg/mL. Dose: 350 mg. Volume = 350 mg ÷ 500 mg/mL = 0.7 mL.
Question 3 of 5
An elderly client with moderate Alzheimer's disease lives with her daughter and appears dirty and disheveled and has lost five pounds over the previous month. Which of the following does the nurse suspect?
Correct Answer: B
Rationale: The client's dirty, disheveled appearance and weight loss suggest caregiver neglect (
B), as the daughter may not be providing adequate care. Physical abuse (
A) would involve evidence of injury, self-neglect (
C) is unlikely given the client's Alzheimer's, and psychological abuse (
D) involves emotional harm, not physical neglect.
Question 4 of 5
The nurse is caring for a client with stage III Alzheimer's disease. A characteristic of this stage is:
Correct Answer: D
Rationale: Stage III Alzheimer's is characterized by severe cognitive decline, including inability to communicate effectively, often limited to simple phrases or gestures.
Question 5 of 5
An obstetrical client calls the clinic with complaints of morning sickness. The nurse should tell the client to:
Correct Answer: A
Rationale: Eating crackers before getting out of bed stabilizes stomach acid and blood sugar, reducing morning sickness.