NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a patient who is receiving chemotherapy. Which of the following medications should the nurse anticipate administering to prevent nausea and vomiting?
Correct Answer: A
Rationale: Ondansetron, a 5-HT3 antagonist, is the first-line antiemetic for chemotherapy-induced nausea, effectively blocking serotonin receptors. Other medications are less specific or used adjunctively.
Extract:
A patient with pain and paresis of the left leg is scheduled for an electromyography.
Question 2 of 5
Before the test, the nurse should explain that:
Correct Answer: C
Rationale: Electromyography involves needle insertion into muscles to assess electrical activity, requiring patient education.
Extract:
Ms. Wilson was admitted in the hospital for subtotal thyroidectomy. Two days prior to surgery she complains to the nurse and states, 'It looks like that she is coming down with flu.'
Question 3 of 5
An appropriate nursing action is:
Correct Answer: A
Rationale: Lugol's solution is given a few days before thyroidectomy to decrease the vascularity of the thyroid glands. Should the patient develop an infection, thyroidectomy will be canceled, so the Lugol's solution should not be given.
Extract:
Question 4 of 5
The nurse is caring for a client who underwent a total hip replacement 48 hours ago. Which of the following actions is MOST important to prevent complications?
Correct Answer: B
Rationale: Keeping the affected leg in a neutral position (e.g., avoiding adduction or extreme rotation) prevents hip dislocation, a major complication post-hip replacement. Ambulation (
A) is important but secondary, antibiotics (
C) depend on orders, and monitoring infection (
D) is routine.
Extract:
The patient has been receiving 2500 ml of IV fluid and 300 to 400 ml of oral intake daily for 2 days. The patient's urine output has been decreasing and now has been less than 40 ml per hour for the past 3 hours.
Question 5 of 5
The nurse should immediately:
Correct Answer: B
Rationale: Low urine output suggests renal or fluid issues, requiring vital signs and breath sound assessment.