NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
A client with a history of hypothyroidism is prescribed levothyroxine. Which instruction should the nurse include?
Correct Answer: A
Rationale: Taking levothyroxine on an empty stomach enhances absorption.
Question 2 of 5
The noon blood glucose level of a client with type 1 diabetes mellitus is 250 mg/dL. The physician orders a sliding-scale insulin regimen based on the client's blood glucose level. The order reads, 'Give regular insulin using the following scale: 0 to 140 mg/dL: None; 141 to 200 mg/dL: 2 units; 201 to 250 mg/dL: 4 units; 251 to 300 mg/dL: 6 units; 301 to 350 mg/dL: 8 units; 351 to 400 mg/dL: 10 units; Over 400 mg/dL: Notify physician.' How many units of insulin should the nurse plan to give?
Correct Answer: B
Rationale: A blood glucose of 250 mg/dL corresponds to 4 units of regular insulin per the sliding-scale order.
Question 3 of 5
Which assessment finding best indicates that Bryant's traction is applied properly to a small child?
Correct Answer: C
Rationale: Bryant's traction for pediatric femoral fractures requires the child's buttocks to be slightly elevated off the mattress to maintain proper alignment and traction force.
Question 4 of 5
A client with a history of depression is prescribed sertraline (Zoloft). Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Insomnia is a common side effect of sertraline, a selective serotonin reuptake inhibitor.
Question 5 of 5
The nurse is teaching a client about warfarin (Coumadin) therapy. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Ibuprofen increases bleeding risk with warfarin; the client should use acetaminophen, indicating a need for further teaching.