NCLEX-RN Practice Questions Set 2 (75 Questions)

NCLEX-RN Practice Questions Set 2
(75 Questions)
1. Question
A nurse was instructed by a physician to give clarithromycin (Biaxin)
for a child whose BSA is 0.55 m2. The usual adult dose is 500 mg.
Biaxin is available in an oral suspension. The 100ml bottle is labeled 50
mg/ml. How many ml would the nurse give per dose? Fill in the
blanks. Record your answer using one decimal place.

Correct answer:
 3.2 mL.


Formula: BSA
Formula: BSA
Formula:



Rationale:
 Use the BSA formula first then the standard formula as
shown above.
 To get the child’s dose, multiply 0.55m2(child’s BSA) to 500
mg (usual adult dose) to get 275.
 Divide 275 with 1.7 m2to get 161.76 mg.
 Use the standard formula above.
 Divide 161.76 mg (desired pedia dose) with 50 mg (drug on
hand) and multiply by 1 ml (vehicle) to get 3.2 ml.
Computation:




2. Question
A 28-year-old male has been found wandering around in a confusing
pattern. The male is sweaty and pale. Which of the following tests is
most likely to be performed first?

,  A. Blood sugar check

 B. CT scan

 C. Blood cultures

 D. Arterial blood gases
Correct Answer: A. Blood sugar check
With a history of diabetes, the first response should be to check blood
sugar levels.
 Option B: Performing a CT scan at this stage of assessment
is unnecessary. A computerized tomography (CT) scan
combines a series of X-ray images taken from different
angles around the body and uses computer processing to
create cross-sectional images (slices) of the bones, blood
vessels, and soft tissues inside the body. CT scan images
provide more detailed information than plain X-rays do.
 Option C: A blood culture test helps the doctor figure out if
the client has a kind of infection that is in the bloodstream
and can affect the entire body. Doctors call this a systemic
infection. The test checks a sample of the blood for bacteria
or yeast that might be causing the infection.
 Option D: An arterial blood gas (ABG) test measures
oxygen and carbon dioxide levels in the blood. It also
measures the body’s acid-base (pH) level, which is usually
in balance when healthy.
3. Question
A mother is inquiring about her child’s ability to potty train. Which of
the following factors is the most important aspect of toilet training?


 A. The age of the child

 B. The child's ability to understand instruction

 C. The overall mental and physical abilities of the child

 D. Frequent attempts with positive reinforcement

,Correct Answer: C. The overall mental and physical abilities of
the child.
Age is not the greatest factor in potty training. The overall mental and
physical abilities of the child are the most important factor.
 Option A: Readiness for toilet training varies with every
age of the child.
 Option B: A child who can follow simple instructions may
start toilet training. However, it is not considered the most
important factor.
 Option D: Positive reinforcement is a great tool for toilet
training, yet, it may not be the most important one.
4. Question
A parent calls the pediatric clinic and is frantic about the bottle of
cleaning fluid her child drank for 20 minutes. Which of the following is
the most important instruction the nurse can give the parent?


 A. This too shall pass

 B. Take the child immediately to the ER

 C. Contact the Poison Control Center quickly

 D. Give the child syrup of ipecac
Correct Answer: C. Contact the Poison Control Center quickly.
The poison control center will have an exact plan of action for this
child.
 Option A: Ingestion of a chemical is an emergency and
should not be delayed.
 Option B: Taking the client to the ER may be correct,
however, they will still have to contact the Poison Control
Center.
 Option D: It should not be given to someone who
swallowed chemicals that cause burns on contact or
medicines that can cause seizures very quickly. It can be
dangerous to people with some types of medical problems.
When such poisoning victims got Ipecac anyway, they
developed serious complications or even died.
5. Question
A nurse is administering a shot of Vitamin K to a 30 day-old infant.
Which of the following target areas is the most appropriate?

,  A. Gluteus maximus

 B. Gluteus minimus

 C. Vastus lateralis

 D. Vastus medialis
Correct Answer: C. Vastus lateralis
Medications are injected into the bulkiest part of the vastus lateralis
thigh muscle, which is the junction of the upper and middle thirds of
this muscle.
 Option A: Intramuscular injections given at the
dorsogluteal and ventrogluteal sites are intended for the
gluteus maximus and gluteus medius muscles, respectively.
However, little research has confirmed the reliability of
these sites for the presence and thickness of the target and
other muscles, and subcutaneous fat.
 Option B: Never give an IM injection in the gluteal muscles
to avoid the risk of sciatica nerve damage.
 Option D: The vastus medialis muscle is a part of the
quadriceps muscle group, located on the front of the thigh.
6. Question
A nurse has just started her rounds delivering medication. A new
patient on her rounds is a 4-year-old boy who is non-verbal. This child
does not have any identification on. What should the nurse do?


 A. Contact the provider

 B. Ask the child to write their name on paper

 C. Ask a coworker about the identification of the child

 D. Ask the father who is in the room the child’s name
Correct Answer: D. Ask the father who is in the room the
child’s name.
In this case, you can determine the name of the child by the father’s
statement. You should not withhold the medication from the child after
identification.
 Option A: Contacting the provider is unnecessary and may
take time. A pediatric patient must have folks with them