NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:
Correct Answer: A
Rationale: Naloxone reverses opioid-induced respiratory depression and somnolence by antagonizing opioid receptors. The other medications have different indications and do not address opioid overdose. Pharmacological Therapies
Question 2 of 5
The nurse is performing a neurologic assessment on a 1-day-old neonate. Which of the following findings would indicate possible asphyxia in utero? Select all that apply:
Correct Answer: C,D,F
Rationale: Failure of the toes to curl downward when the baby's soles are stroked and lack of response to a loud sound can be evidence that neurological damage from asphyxia has occurred. The normal responses would be that the toes curl downward with stroking and that the arms and legs extend in response to a loud noise. Weak, ineffective sucking is another sign of neurologic damage; a neonate should root and suck when the side of his cheek is stroked. A neonate should also grasp a person's finger when it's placed in the palm of his hand, do stepping movements when held upright with the soles touching a surface, and turn toward an object when his cheek is touched by it.
Extract:
Francis' serum K+ level is 3.8 mEq/L. Potassium chloride 40 mEq has been prescribed to be added to the first liter of IV fluid.
Question 3 of 5
The nurse should
Correct Answer: C
Rationale: Ketoacidosis means high blood glucose. Insulin is expected to be administered to lower the blood glucose level. Insulin transports potassium back to the cell, so potassium IV is usually given prophylactically with insulin.
Extract:
Question 4 of 5
A 9-year old is admitted with suspected rheumatic fever. Which finding is suggestive of Sydenham's chorea?
Correct Answer: A
Rationale: Sydenham's chorea, a manifestation—of rheumatic fever, causes irregular movements and facial grimacing. Other options describe rheumatoid arthritis or other conditions.
Question 5 of 5
The nurse is assessing a client with suspected dehydration. Which of the following findings would support this diagnosis?
Correct Answer: B
Rationale: Dehydration causes tachycardia and hypotension due to reduced blood volume. Moist mucous membranes (
A) and clear urine (
C) indicate hydration, and weight gain (
C) suggests fluid retention, not dehydration.