NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is administering insulin lispro (Humalog) to a patient with diabetes mellitus. Which of the following statements indicates the patient understands the medication?
Correct Answer: C
Rationale: Insulin lispro is a rapid-acting insulin administered immediately before meals to control postprandial glucose. Other timings disrupt glycemic control.
Question 2 of 5
A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?
Correct Answer: B
Rationale: Morphine sulfate, a narcotic analgesic, causes central nervous system (CNS) and respiratory depression. In patients with head injuries, it is contraindicated because it masks signs of increased intracranial pressure (ICP), such as changes in level of consciousness, which are critical for monitoring neurological status. Promethazine is an antiemetic, docusate is a stool softener, and ranitidine prevents stress ulcers, none of which pose the same risk in this context.
Question 3 of 5
The nurse on the psychiatric unit is caring for several clients. Which client needs the most immediate attention?
Correct Answer: C
Rationale: Screaming and running indicate potential danger to self or others, requiring immediate intervention to ensure safety.
Question 4 of 5
A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin. The nurse should base her reply on the knowledge that:
Correct Answer: A
Rationale:
Tolerance, requiring higher doses for the same effect, is common with long-term opioid use and does not equate to addiction. Addiction involves psychological dependence, not described here. Psychosocial Integrity
Extract:
A nurse is going to give health teachings to a group of 11 to 15 years old clients with Diabetes Mellitus.
Question 5 of 5
Considering the group's developmental needs, the type of learning activity planned by the nurse would be:
Correct Answer: D
Rationale: Peer-support activities align with adolescents' developmental need for social connection and shared experiences.