NCLEX RN Practice Tests
Question 1 of 5.
A child who weighs 40 kg is prescribed clarithromycin 15 mg/kg per day for 10 days in two divided doses for acute strep throat. If the medication is provided in suspension with 250 mg/5 mL, how many total milliliters of medication are required to complete the treatment? Record your answer using a whole number.
Answer: 120
Explanation: Daily dose = 15 mg/kg X 40 kg = 600 mg/day. For 10 days, total dose = 600 X 10 = 6,000 mg. Suspension is 250 mg/5 mL, so 1 mg = 0.02 mL. Thus, 6,000 mg X 0.02 mL/mg = 120 mL.
Question 2 of 5.
Prochlorperazine maleate (Compazine) 10 mg IM has been ordered for a client. The client is also to receive Stadol 2 mg IM. Before administering these medications, the nurse should
A. obtain respirations and temperature.
B. dilute with 9 ml of NS.
C. draw the medications in separate syringes.
D. verify the route of administration.
Explanation: Compazine should be considered incompatible in a syringe with all other medications
Question 3 of 5.
When using restraints for an agitated/aggressive patient, which of the following statements should NOT influence the nurse’s actions during this intervention?
A. The restraints/seclusion policies set forth by the institution.
B. The patient’s competence.
C. The patient’s voluntary/involuntary status.
D. The patient’s nursing care plan.
Explanation: the need for restraints is based on patient’s behavioral status and condition, not the patient’s voluntary/involuntary status
Question 4 of 5.
A client has been taking perphenazine (Trilafon) by mouth for two days and now displays the following: head turned to the side, neck arched at an angle, stiffness and muscle spasms in neck. The nurse would expect to give which of the following as a PRN medication?
A. Promazine (Sparine).
B. Biperiden (Akineton).
C. Thiothixene (Navane).
D. Haloperidol (Haldol).
Explanation: is an antiparkinsonian agent, used to counteract extrapyramidal side effects the client is experiencing
Question 5 of 5.
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with an acute exacerbation. The nurse notes that the client has a respiratory rate of 28 breaths per minute, is using accessory muscles, and has oxygen saturation of 88% on 2 L/min of oxygen via nasal cannula. Which of the following actions should the nurse take FIRST?
A. Increase the oxygen flow to 4 L/min.
B. Administer a bronchodilator as ordered.
C. Place the client in a high Fowler’s position.
D. Obtain an arterial blood gas (ABG) sample.
Explanation: positioning in high Fowler’s facilitates breathing and improves oxygenation immediately; other actions may follow based on further assessment
Related Questions