NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A 40-year-old woman is admitted in labor with high blood pressure, edema, and proteinuria. She is started on magnesium sulfate. The nurse caring for her should be sure to keep which drug at the bedside?
Correct Answer: A
Rationale: Magnesium sulfate, used for preeclampsia, can cause toxicity; calcium gluconate is the antidote, reversing respiratory depression or cardiac effects, and must be readily available.
Question 2 of 5
The nurse is to obtain an apical-radial pulse on a client. Which statement is true regarding obtaining an apical-radial pulse?
Correct Answer: C
Rationale: Apical-radial pulse requires simultaneous measurement by two people to detect a pulse deficit, ensuring accuracy in conditions like atrial fibrillation.
Question 3 of 5
The nurse is caring for clients in the GYN clinic. A client at 28-weeks gestation states that she occasionally leaks urine when she coughs or sneezes. Which of the following actions by the nurse is BEST?
Correct Answer: A
Rationale: Urine leakage during coughing or sneezing at 28 weeks gestation suggests stress incontinence, common due to pelvic pressure. Kegel exercises strengthen pelvic floor muscles, improving control. A urine specimen (
B) is unnecessary without infection signs, leakage is not ‘expected’ (
C), and specialist referral (
D) is premature.
Question 4 of 5
The nurse is performing a developmental assessment on an 8 month-old. Which finding should be reported to the provider?
Correct Answer: D
Rationale: Falls forward when sitting. Sitting without support is expected at 8 months, indicating a developmental concern.
Question 5 of 5
The nurse is caring for a 16-year-old pregnant client who is taking an iron supplement. Which instruction should the nurse include when teaching the adolescent about ferrous sulfate? Select all that apply:
Correct Answer: C,D,E
Rationale: Because food delays absorption, the nurse should instruct the client to take the supplement between meals to increase absorption. The client should take the supplement with juice (preferably orange juice) or water, but not with milk or antacids. The nurse should also tell the client not to crush or chew extended-release forms of the drug.