NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A 15-year-old client presents at the clinic with fatigue, a severe sore throat, and swollen lymph nodes in the neck. A monospot test is positive. What instructions will be most appropriate for this client?
Correct Answer: B
Rationale: Infectious mononucleosis, indicated by a positive monospot test, is viral, requiring rest and nutrition for recovery, not antibiotics or isolation for blisters.
Question 2 of 5
A hospitalized client asks the nurse for 'something for pain.' Which information is most important for the nurse to gather before administering the medication? Select all that apply:
Correct Answer: A,B,C,D,F
Rationale: The nurse needs to know when the last dose was administered. Some clients request pain medication earlier than is ordered by the physician. Pain, the fifth vital sign, should be assessed using a pain scale and documented in the nursing notes whenever a pain medication is given. Pain is usually reassessed about 30 minutes after the medication is given. Physicians commonly order several different types of pain medication based on the client's condition. The nurse should know which medication and which route was used to administer prior dosages. Evaluating the effectiveness of medications is also an important nursing function when managing the client's pain.
Therefore, she should ask the client if the prior dose was helpful. The nurse should also note whether the client experienced any adverse effects of the medication. Most medications are ordered based on the client's admission weight, not current weight and height. A client's weight may fluctuate when he's in the hospital, so it's unlikely that the nurse will have the most current weight available. Also, taking steps to obtain the client's current weight postpones the pain treatment and can potentially worsen pain.
Question 3 of 5
A patient is prescribed 0.5 mg of lorazepam IV. The medication is available as 2 mg/mL. How many mL should the nurse administer?
Correct Answer: B
Rationale: 0.5 mg ÷ 2 mg/mL = 0.25 mL. Other options are incorrect calculations.
Question 4 of 5
The home care nurse is instructing a client recently diagnosed with tuberculosis. It is MOST important for the nurse to include which of the following as a part of the teaching plan?
Correct Answer: D
Rationale: Adherence to a 6–9-month medication regimen is critical for curing tuberculosis and preventing resistance. Respiratory precautions (
A) are needed for 2–4 weeks, masks (
B) are not always required, and family support (
C) is secondary to treatment adherence.
Question 5 of 5
The nurse is caring for a post-op colostomy client. The client begins to cry, saying 'I'll never be attractive again with this ugly red thing.' What should be the first action taken by the nurse?
Correct Answer: D
Rationale: Encourage the client to discuss her feelings about the colostomy. Assessing the client's personal feelings about the stoma and colostomy care is essential to identify specific concerns before offering solutions.