NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client who is immobilized secondary to traction is complaining of constipation. Which of the following medications should the nurse expect to be ordered?
Correct Answer: D
Rationale: Colace, a stool softener, is appropriate for constipation in immobilized clients, as it promotes softer stools without systemic effects. The other options are NSAIDs, not laxatives. Basic Care and Comfort
Extract:
The maximum safe height at which the container of fluid can be held when administering an enema is:
Question 2 of 5
The maximum safe height at which the container of fluid can be held when administering an enema is:
Correct Answer: C
Rationale: 45 cm (18 inches) ensures safe pressure to avoid bowel injury during an enema.
Extract:
Question 3 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.
Extract:
Which of the following female patients is at the highest risk for the development of breast cancer?
Question 4 of 5
A 28-year-old who was 10 years old at menarche.
Correct Answer: A
Rationale: Early menarche (before age 12) is a known risk factor for breast cancer due to prolonged exposure to estrogen.
Extract:
Question 5 of 5
The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:
Correct Answer: C
Rationale: Cyanosis of the hands and feet (acrocyanosis) is common in newborns and may result in a 1-point deduction from a perfect Apgar score of 10.