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
An Hispanic mother who does not speak English and is very upset brings her child to the clinic with bleeding from the mouth. Which of the following is the most appropriate action by the nurse who does not speak Spanish?
Correct Answer: A
Rationale: Calling an interpreter ensures accurate communication, addressing the mother's distress and obtaining a clear history.
Question 3 of 5
A client with newly diagnosed breast cancer asks the nurse why she needs to have chemotherapy after her breast was removed. Which of the following responses by the nurse is most appropriate?
Correct Answer: A
Rationale: Chemotherapy is used post-mastectomy to target any residual cancer cells, reducing the risk of recurrence.
Question 4 of 5
A nurse who organizes and establishes a political action committee (PAC) in their local community to address issues relating to the accessibility and affordability of healthcare resources in the community is serving in which capacity and role of the registered nurse?
Correct Answer: A
Rationale: By organizing a PAC to address healthcare accessibility and affordability, the nurse is acting as a client advocate . This role involves promoting the health and well-being of clients and communities by addressing systemic issues, such as access to care, through community and political engagement.
Question 5 of 5
A client with cancer has been advised by the physician that he should have chemotherapy. The client is concerned with chemotherapy and wants to take herbal treatments instead. The nurse's best response to the client is which of the following?
Correct Answer: D
Rationale: Exploring the client's concerns about chemotherapy fosters open communication and allows the nurse to address specific fears or misconceptions, potentially guiding the client toward informed decision-making. Options A, B, and C may shut down dialogue or provide incomplete information.