NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
A hospitalized child suddenly has a seizure while his family is visiting. The nurse notes whole body rigidity followed by general jerking movements. The child vomits immediately after the seizure. A priority nursing diagnosis for the child is
Correct Answer: D
Rationale: The tonic-clonic seizure appears suddenly and often leads to brief loss of consciousness. The greatest risk for the child is from airway blockage, as might follow aspiration.
Question 2 of 5
Legal protection of confidentiality:
Correct Answer: D
Rationale: Confidentiality protects both written and verbal identifiable health information to maintain client privacy. Non-identifiable data may not require protection, and confidentiality is not limited to courts. Coordinated Care
Question 3 of 5
The client has an order for a peak to be drawn on a client receiving Garamycin. The nurse is aware that he should contact the lab for them to draw the blood:
Correct Answer: C
Rationale: Peak levels for gentamicin (Garamycin) are drawn 1 hour after infusion to assess maximum drug concentration and guide dosing to avoid toxicity.
Question 4 of 5
The practical nurse is assisting the registered nurse in caring for 4 clients in the pediatric emergency department. Which client should be seen first?
Correct Answer: A
Rationale: The adolescent with abdominal pain, tachycardia (heart rate 120/min), and tachypnea (respirations 26/min) may have a serious condition like appendicitis or perforation, requiring urgent evaluation. The other clients' conditions are less acute.
Extract:
Laboratory Reference Range
Glucose - Random
71-200 mg/dL
(3.9-11.1 mmol/L)
Question 5 of 5
The nurse is caring for a client with diabetes mellitus. The client is alert and oriented but appears shaky and pale. The client's capillary blood glucose level is 50 mg/dL (2.8 mmol/L). Which of the following actions should the nurse take next?
Correct Answer: B
Rationale: A blood glucose of 50 mg/dL indicates hypoglycemia. Giving 4 oz of regular soda provides fast-acting carbohydrates to raise blood sugar quickly. Glucagon is used for severe hypoglycemia when the client is unresponsive, and repeating the test delays treatment.