NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
Your client has a doctor's order for 1200 mLs of intravenous fluid every 8 hours. Your shift began at 8 am and there were 600 mLs remaining in the intravenous fluid bag. How many mLs would you expect to see at 12 noon?
Correct Answer: A
Rationale:
To calculate: 1,200 mL ÷ 8 hours = 150 mL/hr. From 8 AM to 12 noon (4 hours), 4 × 150 = 600 mL infused. Starting with 600 mL, 600 - 600 = 0 mL remaining.
Question 2 of 5
A client with a head injury and a feeding tube continuously tries to remove the tube. The nurse contacts the primary health care provider who prescribes the use of restraints. After checking the agency's policy and procedure regarding the use of restraints, the nurse uses which method in restraining the client?
Correct Answer: D
Rationale: Mitten restraints are useful for this client because the client cannot pull against them, creating resistance that could lead to increased intracranial pressure (ICP). Belt and waist restraints prevent the client from getting up or falling out of bed or off a stretcher but do nothing to limit hand movement. Wrist restraints cause resistance.
Question 3 of 5
A client with a diagnosis of diverticulitis is prescribed a high-fiber diet. Which of the following foods should the nurse recommend?
Correct Answer: B
Rationale: Broccoli is high in fiber, supporting bowel regularity in diverticulitis, unlike low-fiber foods like white rice or bread.
Question 4 of 5
A client with a history of type 1 diabetes mellitus is prescribed insulin glargine (Lantus). The nurse should explain that this insulin:
Correct Answer: B
Rationale: Insulin glargine provides a steady basal insulin level over 24 hours, used for long-term glucose control.
Question 5 of 5
A client with a history of gout is admitted with joint pain. The nurse should include which of the following in the plan of care?
Correct Answer: A
Rationale: Increased fluid intake promotes uric acid excretion in gout.