NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
A client with insulin-dependent diabetes takes 20 units NPH insulin at 7 a.m. The nurse should observe the client for signs of hypoglycemia at:
Correct Answer: C
Rationale: NPH insulin peaks 6-12 hours after administration (1-3 p.m.), making 3 p.m. the time to watch for hypoglycemia. Other times are outside the peak window.
Question 2 of 5
The nurse is caring for a client who is receiving peritoneal dialysis and is reporting chills and abdominal discomfort. The nurse notes rebound tenderness with palpation. Which of the following actions would be a priority for the nurse to take?
Correct Answer: A
Rationale: Chills, discomfort, and rebound tenderness suggest peritonitis, requiring fluid culture (
A). Warming dialysate (
B), pain medication (
C), and positioning (
D) do not address the infection.
Question 3 of 5
A charge nurse suspects that the unlicensed assistive personnel (UAP) is falsifying the documentation of clients' capillary glucose results rather than performing the test. What is the best action by the charge nurse to handle this situation?
Correct Answer: D
Rationale: Verifying the glucose result personally (
D) provides evidence of falsification. Asking a client (
A) is unreliable, a staff meeting (
B) is too general, and a warning (
C) is premature without proof.
Extract:
Vital signs
Temperature 98.7 F (37.05 C)
Blood pressure 110/64 mm Hg
Heart rate 92/min
Respirations 22/min
O2 saturation or SpO2 90% on room air
Question 4 of 5
An 81-year-old client is admitted to a rehabilitation facility 3 days after total hip replacement. The next morning, the unlicensed assistive personnel (UAP) takes the client's vital signs, but when the UAP returns to assist the client with a shower, the client curses at and tries to hit the UAP. Which is the most appropriate response by the practical nurse?
Correct Answer: A
Rationale: Observing the client (
A) allows assessment of the behavior's cause. Assuming dissatisfaction (
B) or dementia (
D) is premature. Leaving the client (
C) delays intervention.
Extract:
Question 5 of 5
The nurse is teaching a client with cardiac disease about the anatomy and physiology of the heart. Which is the correct pathway of blood flow through the heart?
Correct Answer: C
Rationale: Right atrium, right ventricle, left atrium, left ventricle. This is the correct pathway of blood flow through the heart.