NCLEX-RN Practice Questions Test Bank 2022

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. Answer: (3.2) mL. Incorrect 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 childʼs dose, multiply 0.55m2(childʼs 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. Page 7 of 153 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 Incorrect 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 Page 8 of 153 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 bodyʼs acid-base (pH) level, which is usually in balance when healthy. 3. Question A mother is inquiring about her childʼs ability to potty train. Which of the following factors is the most important aspect of toilet training?