NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a newborn who is 2 hours old. Which of the following findings should be reported to the healthcare provider?
Correct Answer: B
Rationale: Jaundice within 24 hours of birth is pathologic, indicating possible hemolytic disease or liver issues, requiring reporting. Heart rate, respiratory rate, and temperature are normal for a newborn.
Question 2 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 3 of 5
A client diagnosed with Borderline Personality Disorder frequently attempts to burn herself. The best intervention to facilitate behavior change is:
Correct Answer: B
Rationale: The challenge when intervening with clients who might harm themselves is to maintain client safety while facilitating behavior change. Enlisting the client to identify the triggers for self-harm makes the client an active participant in treatment.
Question 4 of 5
A nurse assessing the newborn of a mother with diabetes understands that hypoglycemia is related to what?
Correct Answer: A
Rationale: Disruption of fetal glucose supply. After delivery, the high glucose levels which crossed the placenta to the fetus are suddenly stopped. The newborn continues to secrete insulin in anticipation of glucose. When oral feedings begin, the newborn will adjust insulin production within a day or two.
Question 5 of 5
A 12-year-old boy injured his right knee yesterday during a soccer game. He is brought to the outpatient clinic by his mother. His right knee is painful, swollen, and bruised. During the interview, the nurse learns that the boy has hemophilia A. Which of the following medications would be BEST for this patient?
Correct Answer: D
Rationale: Hemophilia A increases bleeding risk, so medications like Percodan (A, contains aspirin), ibuprofen (
B), and aspirin (
C) are contraindicated as they impair clotting. Codeine (
D) is a safe analgesic for moderate to severe pain in this population.