NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A client calls the evening health clinic to state 'I know I have a severely low sugar since the Lantus insulin was given 3 hours ago and it peaks in 2 hours.' What should be the nurse's initial response to the client?
Correct Answer: B
Rationale: When a client has changed from stable to unstable, the nurse's initial response should be to do further assessment of the client.
Question 2 of 5
An adult is scheduled for surgery today and has signed an operative permit. As the nurse is about to administer the client's preoperative medication, the client says that she has changed her mind and no longer wishes to have the surgery. How should the nurse respond?
Correct Answer: C
Rationale: The client has the right to withdraw consent. Notifying the physician allows discussion and respects autonomy. Signed consents are not binding, medication should be withheld, and reassurance dismisses concerns.
Extract:
Three days following surgery, a client with cast on his right leg would like to ambulate for the first time. He has not been seen by the physical therapist. For the last three days he has been sitting on the edge of the bed with feet dangling. Today, he called the nurse to walk him to the washroom.
Question 3 of 5
Using a sound judgment, the nurse's most appropriate response would be which of the following?
Correct Answer: D
Rationale: Consulting the physician ensures safe ambulation, as the patient has not been assessed by physical therapy.
Extract:
Question 4 of 5
A client with paranoid personality disorder monopolizes group activities with complaints that the staff is out to get him. The nurse should:
Correct Answer: D
Rationale: One of the most therapeutic actions the nurse can take with the paranoid client is to spend time with him but not challenge his delusions. Answer A would challenge his delusions and make him more convinced that he is right, so it is incorrect. Answers B and C would isolate the client and increase his paranoid thinking, so they're incorrect.
Extract:
Mr. Lou, 65 years old, with liver cirrhosis was ordered neomycin enema
Question 5 of 5
Mr. Lou, 65 years old, with liver cirrhosis was ordered neomycin enema for which of the following goals?
Correct Answer: B
Rationale: Neomycin enemas reduce ammonia-producing bacteria, improving consciousness in hepatic encephalopathy.