NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A client is seen in clinic and is diagnosed as having pyelonephritis. What is most likely to be in the nursing history?
Correct Answer: B
Rationale: Pyelonephritis often ascends from untreated cystitis, a lower urinary tract infection. Pharyngitis, urolithiasis, or uric acid diet are not primary risk factors.
Question 2 of 5
The nurse is preparing to administer a medication via a nasogastric tube. Which of the following actions should the nurse perform FIRST?
Correct Answer: B
Rationale: Checking NG tube placement (e.g., via pH testing of aspirate) ensures the medication is delivered to the stomach, preventing aspiration. Crushing medication (
A) and flushing (
C) follow placement confirmation, and supine positioning (
D) increases aspiration risk.
Question 3 of 5
The nurse is caring for a client with a serum potassium level of 3.5 mEq/L. The client is placed on a cardiac monitor and receives 40 mEq KCL in 1000 ml of 5% dextrose in water IV. Which of the following EKG patterns indicates to the nurse that the infusions should be discontinued?
Correct Answer: C
Rationale: A tall peaked T wave is a sign of hyperkalemia. The provider should be notified regarding discontinuing the medication.
Question 4 of 5
The nursing team includes two RNs, one LPN/LVN, and one nursing assistant. The nurse should consider the assignments appropriate if the nursing assistant is assigned to care for
Correct Answer: A
Rationale: Nursing assistants handle standard, unchanging procedures like feeding a stable Alzheimer’s client. Burning on urination (
B) requires RN assessment, tube feeding (
C) is for LPNs, and Cheyne-Stokes respirations (
D) indicate an unstable patient needing RN care.
Extract:
Binu is a 45-year-old female patient who is admitted with a diagnosis of acute depression. She has history of inability to deal with her divorce.
Question 5 of 5
The nurse would expect that one of the following drugs will be ordered for the patient which is:
Correct Answer: A
Rationale: Elavil (amitriptyline), a tricyclic antidepressant, is commonly used for depression.