NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A 12-year-old boy injured his right knee yesterday during a soccer game. He is brought to the outpatient clinic by his mother. His right knee is painful, swollen, and bruised. During the interview, the nurse learns that the boy has hemophilia A. Which of the following medications would be BEST for this patient?
Correct Answer: D
Rationale: Hemophilia A increases bleeding risk, so medications like Percodan (A, contains aspirin), ibuprofen (
B), and aspirin (
C) are contraindicated as they impair clotting. Codeine (
D) is a safe analgesic for moderate to severe pain in this population.
Extract:
A client's monitor shows a PQRST wave for each beat and indicates a rate of 120. The rhythm is regular.
Question 2 of 5
The nurse should note that the client is experiencing:
Correct Answer: B
Rationale: A regular rhythm with a rate of 120 and normal PQRST waves indicates sinus tachycardia.
Extract:
Question 3 of 5
The nurse is caring for a client with a myocardial infarction. Which finding requires the nurse's immediate action?
Correct Answer: B
Rationale: Dizzy spells. Cardiac dysrhythmias may cause a transient drop in cardiac output and decreased blood flow to the brain. Near syncope refers to lightheadedness, dizziness, temporary confusion. Such 'spells' may indicate runs of ventricular tachycardia or periods of asystole and should be reported immediately.
Question 4 of 5
An IV is infusing at 30 gtt/min. If the drop factor is 20 gtt/mL, what would this rate of flow equal in mL/h?
Correct Answer: D
Rationale: (30 gtt/min ÷ 20 gtt/mL) × 60 min/h = 90 mL/h. Other options are incorrect calculations.
Extract:
A patient with pain and paresis of the left leg is scheduled for an electromyography.
Question 5 of 5
Before the test, the nurse should explain that:
Correct Answer: C
Rationale: Electromyography involves needle insertion into muscles to assess electrical activity, requiring patient education.