NCLEX Exam Question of the Day

2022-01-21
NCLEX Exam Question:
Order: 800 mg Ibuprofen PO q8h for pain

Supply: 1 tablet = 200 mg

How many tablets will be taken in 24 hours?

Select an Answer:
3 tablets
16 tablets
12 tablets
4 tablets

Rationale:
First, solve how many tablets per dose.

If 1 tablet = 200 mg and the order is for 800 mg, then:

200 mg / 1 = 800 mg / x

Cross multiply:

200x = 800

Divide both sides by 200 to solve for x:

200x / 200 = 800 / 200

x = 4 tablets per dose

4 tablets every 8 hours, over 24 hours = 3 doses

3 doses × 4 tablets = 12 tablets in 24 hours

2022-01-20
NCLEX Exam Question:
A patient is prescribed haloperidol for psychotic symptoms that include hallucinations.

One month later, the patient returns, reporting fever, headache, and dizziness.

Suspecting normal side effects of the medication, the nurse will seek further information by asking the patient each of these questions except:

Select an Answer:
Are you having difficulty urinating?
Are you eating plenty of spinach?
Have you experienced any heart palpitations?
Are you using sunscreen while outdoors?

Rationale:
None of the vitamins and minerals contained in spinach (including vitamin K and iron) lead to adverse effects while the patient is taking haloperidol.

2022-01-19
NCLEX Exam Question:
An adult male is brought to the ED by his partner, who is concerned about the patient's recent erratic behavior.

While assessing the patient's symptoms, the nurse defines which one as a positive symptom of schizophrenia?

Select an Answer:
The patient describes overwhelming fatigue from his lack of sleep.
The patient states that he's merely following orders sent from the President of the United States.
The patient answers the nurse's questions with a blank stare.
The patient's partner says it's been several weeks since they've socialized with friends.

Rationale:
Positive symptoms are usually a heightened or exaggerated version of normal behavior.

Negative symptoms are recognized as a loss of some normal patient function.

2022-01-18
NCLEX Exam Question:
A nurse is aware that which of the following is an abnormal finding in the first 24 hours of life in a newborn?

Select an Answer:
vernix
cephalohematoma
milia
acrocyanosis

Rationale:
Cephalohematoma is a hemorrhage of blood in the periosteum of a newborn's skull. It can be caused by a traumatic/complicated delivery.

Acrocyanosis of the hands and feet are normal for the first 24 hours while circulation is being established. Acrocyanosis after 24 hours of life would be an abnormal finding.

Vernix is a cheese-like white substance that coats the skin at birth. It is a normal finding .

Milia are pearly white cysts usually found on the nose or chin of a newborn. These are caused by the oil glands of the newborn still developing. Milia is a normal finding.

2022-01-17
NCLEX Exam Question:
The RN is preparing to administer an IM injection to a two-year-old child with the parents in the room.

Which of the following would be appropriate interventions to minimize discomfort during the injection? Select all that apply.

A. Hold the child down tightly.

B. Play the child's favorite song in the background.

C. Have the mother hold the child.

D. Show the needle to the child before injection.

E. Explain the procedure to the child.

Select an Answer:
B and C
D and E
B and E
A and E

Rationale:
A child in their toddler years needs the affection of their parents.

Having the mother hold the child during the injection will provide a feeling of security. Playing the child's favorite age appropriate song will also be a good way to distract her.

Holding down the child will cause more trauma.

Showing the child the needle and explaining the whole procedure will most likely increase the child's anxiety.