NCLEX-RN Exam Questions

A 2-month-old infant is receiving IV fluids with a volume control set. The nurse uses this type of tubing because it:

Which type of insulin can be administered by a continuous IV drip?

A physician's order reads: Administer furosemide oral solution 0.5 mL stat. The furosemide bottle dosage is 10 mg/mL. What dosage of furosemide should the nurse give to this infant...

A physician's order reads: Administer KCl 10% oral solution 1.5 mL. The KCl bottle reads 20 mEq/15 mL. What dosage should the nurse administer to the infant?

A 1000-mL dose of lactated Ringer's solution is to be infused in 8 hours. The drop factor for the tubing is 10 gtt/mL. How many drops per minute should the nurse administer?

A 1000-mL dose of D5W 12 normal saline is to be infused in 8 hours. The drop factor for the tubing is 60 gtt/min. How many drops per minute should the nurse administer?

A physician's order reads: 0.25 normal saline at 50 mL/hr until discontinued. The nurse is using a microdrip tubing set. How many drops per minute should the nurse administer?

A 6-year-old child is attending a pediatric clinic for a routine examination. What should the nurse assess for while conducting a vision screening?

An 11-year-old boy has received a partial-thickness burn to both legs. He presents to the emergency room approximately 15 minutes after the accident in excruciating pain with charr...

A burn victim's immunization history is assessed by the nurse. Which immunization is of priority concern?

A newborn has been delivered with a meningomyelocele. The nursery nurse should position the newborn:

Nursing care of the infant prior to surgical closure of a meningomyelocele would include:

A 35-year-old client is admitted to the hospital with diabetic ketoacidosis. Results of arterial blood gases are pH 7.2, PaO2 90, PaCO2 45, and HCO3 16. The nursing assessment of a...

A client presents to the emergency room with cyanosis, coughing, tachypnea, and tachycardia. She has a history of asthma. Arterial blood gas values are pH 7.28, PaO2 54, PaCO2 60,...

A 40-year-old client is admitted to the coronary care unit with chest pain and shortness of breath. The physician diagnosed an anterior wall myocardial infarction. What tests shoul...

The nurse needs to be aware that the most common early complication of a myocardial infarction is:

A client is being treated for congestive heart failure. His medical regimen consists of digoxin (Lanoxin) 0.25 mg po daily and furosemide 20 mg po bid. Which laboratory test should...

In the coronary care unit, a client has developed multifocal premature ventricular contractions. The nurse should anticipate the administration of:

A client has received digoxin 0.25 mg po daily for 2 weeks. Which of the following digoxin levels indicates toxicity?

A client has developed congestive heart failure secondary to his myocardial infarction. Discharge diet instructions should emphasize the reduction or avoidance of:

A client takes warfarin (Coumadin) 15 mg po daily. To evaluate the medication's effectiveness, the nurse should monitor the:

Prior to administering digoxin to a client with congestive heart failure, the nurse needs to assess:

A client is diagnosed with Mycobacterium tuberculosis. He is placed in respiratory isolation, intubated, and receives mechanical ventilation. When performing suctioning, the nurse...

The physician prescribes a medical regimen of isoniazid, rifampin, and vitamin B6 for a tuberculosis client. The nurse instructs the client that B6 is given because it:

Which of the following nursing actions is essential to prevent drug-resistant tuberculosis?

To facilitate maximum air exchange, the nurse should position the client in:

A client has been diagnosed with congestive heart failure. His fluid intake and output are strictly regulated. For lunch, he drank 8 oz of milk, 4 oz of tea, and 6 oz of coffee. Hi...

The client tells the nurse, "I have pain in my left shoulder." This is considered:

Before completing a nursing diagnosis, the nurse must first:

A 70-year-old homeless woman is admitted with pneumonia. She is weak, emaciated, and febrile. The physician orders enteral feedings intermittently by nasogastric tube. When inserti...

When assessing residual volume in tube feeding, the feeding should be delayed if the amount of gastric contents (residual) exceeds:

A client has a history of alcoholism. He is currently diagnosed with cirrhosis of the liver. The nurse would expect him to be on which type of diet?

A client has ascites, which is caused by:

A common complication of cirrhosis of the liver is prolonged bleeding. The nurse should be prepared to administer?

A 45-year-old client has a permanent colostomy. Which of the following foods should he avoid?

On an assessment of a client's mouth, the nurse notices white patches on the buccal mucosa. The nurse tries to obtain a sample for a culture, but the lesion cannot be rubbed off. T...

A client on the infectious disease unit is discussing transmission of human immunodeficiency virus (HIV). The nurse would need to provide more client education based on which clien...

A 26-year-old client is diagnosed with an astrocytoma, a benign brain tumor. From the nurse's knowledge of the central nervous system, the nurse knows that benign tumors:

A 55-year-old client is admitted with a diagnosis of renal calculi. He presented with severe right flank pain, nausea, and vomiting. The most important nursing action for him at th...

A client's renal calculi are identified as consisting of calcium phosphate. Which of the following diets would be appropriate?

A client is admitted to the hospital with diabetic ketoacidosis. The emergency room nurse should anticipate the administration of:

A client is diagnosed with diabetic ketoacidosis. The nurse should be prepared to administer which of the following IV solutions?

The nurse is caring for a client who has diabetes insipidus. The nurse would describe this client's urine output pattern as:

A male client was involved in a motor vehicle accident earlier in the day. The nurse caring for him on evenings notices that on admission to the hospital, he lost a lot of blood an...

An expected response to sodium polystyrene sulfonate (Kayexalate) is:

Cheyne-Stokes respiratory pattern can be associated with which of the following conditions?

When providing dietary teaching to an individual who has diabetes mellitus, type II, the nurse discusses the importance of consuming the recommended daily allowance of which of the...

A physician tells the nurse that he wants to orally intubate a client with a No. 8 endotracheal tube. The finding of normal breath sounds on the right side of the chest and diminis...

Which of the following blood gas parameters primarily reflects respiratory function?

Endotracheal tube cuff pressure should never exceed: