NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client received six units of regular insulin three hours ago. The nurse would be MOST concerned if which of the following was observed?
Correct Answer: C
Rationale: Regular insulin peaks in 2–4 hours, and the symptoms in choice C (diaphoresis and trembling) are classic signs of hypoglycemia, a potential complication at this time. Hypoglycemia requires immediate intervention, such as administering skim milk or glucose.
Choice A indicates hyperglycemia (Kussmaul respirations), and choices B and D are not specific to hypoglycemia.
Question 2 of 5
A mother brings her two-year-old boy to the pediatrician's office. Which of the following symptoms would suggest to the nurse that the child has strabismus?
Correct Answer: C
Rationale: Strabismus is characterized by misaligned eyes, causing the brain to receive two images. Closing one eye to focus (as in choice
C) is a compensatory behavior to avoid double vision.
Choices A and B suggest refractive errors, and choice D indicates cataracts or peripheral vision issues.
Question 3 of 5
The nurse is assessing a client with chronic renal failure receiving peritoneal dialysis. Which of the following findings would require an intervention by the nurse?
Correct Answer: C
Rationale: Cloudy drainage from the catheter site indicates peritonitis, a serious complication requiring immediate intervention (e.g., antibiotics, physician notification). Abdominal fullness (
A) and bruising (
D) are common during early exchanges, and constipation (
B) is managed with diet or stool softeners.
Extract:
A mother with cystic fibrosis child is receiving health teaching from the nurse regarding danger signs of her illness.
Question 4 of 5
The mother has best understood the teaching when she says:
Correct Answer: C
Rationale: Respiratory distress, indicated by tiredness, is a critical danger sign in cystic fibrosis.
Extract:
Question 5 of 5
A pregnant Asian client who is experiencing morning sickness wants to take ginger to relieve the nausea. Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: Ginger is a recognized remedy for nausea, and consulting the physician respects the client's cultural preferences while ensuring safety. The other responses are dismissive or culturally insensitive. Physiological Adaptation