NCLEX-PN
PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A 7 year-old child is hospitalized following a major burn to the lower extremities. A diet high in protein and carbohydrates is recommended. The nurse informs the child and family that the most important reason for this diet is to
Correct Answer: D
Rationale: Spare protein catabolism to meet metabolic needs. A high-carbohydrate diet prevents protein breakdown for energy, allowing proteins to restore tissue.
Question 2 of 5
The most common reason for an Apgar score of 8 and 9 in a newborn is an abnormality of what parameter?
Correct Answer: D
Rationale: Color. Acrocyanosis (blue hands and feet) is the most common Apgar score deduction, and is a normal adaptation in the newborn.
Question 3 of 5
Which oxygen delivery system would the nurse apply that would provide the highest concentrations of oxygen to the client?
Correct Answer: C
Rationale: Non-rebreather mask. The non-rebreather mask has a one-way valve that prevents exhaled air from entering the reservoir bag and one or more valves covering the air holes on the face mask itself to prevent inhalation of room air but to allow exhalation of air. When a tight seal is achieved around the mask up to 100% of the oxygen is available.
Question 4 of 5
The home health nurse is reviewing current medications with a client who has hypertension. Which of the following statements by the client would require follow-up?
Correct Answer: B
Rationale: Ibuprofen can reduce the efficacy of antihypertensives and cause fluid retention, worsening hypertension. Omeprazole , docusate , and hydrochlorothiazide are unlikely to interfere with hypertension management.
Question 5 of 5
The nurse is caring for a client who is experiencing the cardiac rhythm shown in the ECG strip below. The nurse should recognize that the client is experiencing
Correct Answer: B
Rationale: Ventricular fibrillation is a life-threatening arrhythmia requiring immediate intervention. Atrial fibrillation , sinus bradycardia , and normal rhythm are less urgent.