NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A 35-year-old woman with three children is seen in the emergency room for a broken arm and facial lacerations. This is the third emergency room visit in the last three months for injuries. Each time, she tells the staff that she fell. This time, she confides to the LPN/LVN that 'my husband accidentally pushed me.' What should the LPN/LVN do with this information?
Correct Answer: B
Rationale: Suspected domestic violence requires reporting to the charge nurse for referral to social services or abuse resources, ensuring proper support. Questioning, legal referrals, or rights discussions are less appropriate initially.
Extract:
Following major abdominal surgery, Mrs. Lafayette, was started on Morphine infusion via PCA (patient's controlled analgesia) pump.
Question 2 of 5
Priority nursing care for the patient would include:
Correct Answer: A
Rationale: Morphine sulfate is a central nervous system depressant, and respiratory depression is a serious side effect, making respiratory status the priority.
Extract:
Question 3 of 5
A client wearing corrective lenses has a visual acuity of 20/200. The nurse recognizes that the client:
Correct Answer: B
Rationale: The client whose vision is corrected to 20/200 is by definition legally blind because he is able to see at 20 feet what the healthy eye can see at 200 feet. Answer A refers to a refractive error, which is corrected by eyeglasses or one of the laser procedures. Answer C is an inability to focus on near objects due to a loss of elasticity of the lens and is corrected by the use of bifocal eye glasses. Answer D does not apply because the client would experience difficulty with vision at night or in dim lighting. Answers A, C, and D are incorrect because they do not explain what is meant by a visual acuity of 20/200.
Question 4 of 5
The nurse discovers that the parents of a 2 year-old child continue to use an apnea monitor each night. The parents state: 'We are concerned about the possible occurrence of sudden infant death syndrome (SIDS).' In order to take appropriate action, the nurse must understand that
Correct Answer: D
Rationale: 95% of SIDS cases occur before 6 months of age. Peak age of SIDS occurrence is 2 to 4 months and 95% of cases occur by 6 months of age. It is the leading cause of death in infants 1 month to 1 year of age.
Extract:
Francis is a 48-year-old female with elevated blood sugar.
Question 5 of 5
The type of insulin expected to be ordered by the physician to treat Francis elevated blood sugar would be:
Correct Answer: B
Rationale: Short-acting or regular insulin usually reaches the blood within 30 minutes after injection, peaks in 2 to 4 hours, and stays in the bloodstream for 6 to 8 hours. Because of its short and predictable peak action, regular insulin is routinely used for intravenous administration.