NCLEX-RN Exam Pack Set 2 (75
Questions & Answers Updated
2023)
1. 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.
o Answer: (3.2) mL.
Correct answer:
o 3.2 mL.
Formula: BS
A Formula:
BSA Formula:
Rationale:
o Use the BSA formula first then the standard formula
as shown above.
o To get the child’s dose, multiply 0.55m2(child’s BSA)
to 500 mg (usual adult dose) to get 275.
o Divide 275 with 1.7 m2to get 161.76 mg.
o Use the standard formula above.
o 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?
o A. Blood sugar check
o B. CT scan
o C. Blood cultures
o 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.
o 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.
o 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.
o 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?
o A. The age of the child
o B. The child's ability to understand instruction
o C. The overall mental and physical abilities of the
child
o 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?
o A. This too shall pass
o B. Take the child immediately to the ER
o C. Contact the Poison Control Center quickly
o 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?
o A. Gluteus maximus
o B. Gluteus minimus
o C. Vastus lateralis
o 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.
o 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.
Questions & Answers Updated
2023)
1. 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.
o Answer: (3.2) mL.
Correct answer:
o 3.2 mL.
Formula: BS
A Formula:
BSA Formula:
Rationale:
o Use the BSA formula first then the standard formula
as shown above.
o To get the child’s dose, multiply 0.55m2(child’s BSA)
to 500 mg (usual adult dose) to get 275.
o Divide 275 with 1.7 m2to get 161.76 mg.
o Use the standard formula above.
o 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?
o A. Blood sugar check
o B. CT scan
o C. Blood cultures
o 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.
o 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.
o 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.
o 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?
o A. The age of the child
o B. The child's ability to understand instruction
o C. The overall mental and physical abilities of the
child
o 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?
o A. This too shall pass
o B. Take the child immediately to the ER
o C. Contact the Poison Control Center quickly
o 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?
o A. Gluteus maximus
o B. Gluteus minimus
o C. Vastus lateralis
o 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.
o 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.
