NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A 16 year-old boy is admitted for Ewing's sarcoma of the tibia. In discussing his care with the parents, the nurse understands that the initial treatment most often includes
Correct Answer: D
Rationale: radiation and chemotherapy. The initial treatment of choice for Ewing's sarcoma is a combination of radiation and chemotherapy.
Question 2 of 5
The nurse is assessing a client with suspected hyperthyroidism. Which of the following findings would the nurse expect?
Correct Answer: B
Rationale: Hyperthyroidism increases metabolism, causing heat intolerance and tremors due to excess thyroid hormone. Weight gain (
A), bradycardia (
C), and dry skin (
D) are characteristic of hypothyroidism, not hyperthyroidism.
Question 3 of 5
Order: Nitroglycerine 50 mg in 250 mL normal saline, infuse at 10 mcg/min. Calculate the rate in mL/h.
Correct Answer: B
Rationale: 50 mg = 50,000 mcg. 250 mL ÷ 50,000 mcg = 0.005 mL/mcg. 10 mcg/min × 0.005 mL/mcg × 60 min/h = 3 mL/h. Other options are incorrect.
Question 4 of 5
The nurse is preparing to administer insulin to a client with type 1 diabetes. The client is prescribed 10 units of regular insulin and 20 units of NPH insulin. The nurse should
Correct Answer: A
Rationale: When mixing regular and NPH insulin, draw up regular (clear) insulin first to prevent contamination with NPH (cloudy). Mixing in one syringe (not separate,
C) is standard, and a 1:1 ratio (
D) is incorrect as doses are specific (10:20 units).
Question 5 of 5
The parent of a preschooler with chickenpox asks the nurse about measures to make the child comfortable. The nurse instructs the parent to avoid administering aspirin or any other product that contains salicylates. When given to children with chickenpox, aspirin has been linked to which disorder?
Correct Answer: C
Rationale: Research shows a correlation between the use of aspirin during chickenpox and the development of Reye's syndrome (a disorder characterized by brain and liver toxicity).
Therefore, the nurse should instruct the parents to avoid administering aspirin or other products that contain salicylates and to consult the physician or pharmacist before administering any medication to a child with chickenpox. No research has found a link between aspirin use, chickenpox, and the development of Guillain-Barré syndrome, rheumatic fever, or scarlet fever.