NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a patient with a tracheostomy. Which of the following actions should the nurse take to prevent complications?
Correct Answer: C
Rationale: Keeping the cuff inflated maintains airway patency and prevents aspiration, but pressure must be monitored to avoid tracheal damage. Routine suctioning, hydrogen peroxide, and daily tie changes are not standard.
Question 2 of 5
The nurse is caring for several clients who will be undergoing diagnostic tests. Which client must the nurse ask about allergies to shellfish? An adult who is scheduled for:
Correct Answer: B
Rationale: Shellfish allergies may indicate iodine sensitivity, critical for contrast dye used in CT scans, unlike MRI, EEG, or sleep studies.
Question 3 of 5
The nurse is assessing a client with suspected anaphylaxis. Which of the following findings would require immediate intervention?
Correct Answer: B
Rationale: Wheezing and stridor indicate airway obstruction in anaphylaxis, a life-threatening emergency requiring immediate intervention (e.g., epinephrine). Rash (
A), itching (
C), and nausea (
D) are less urgent but still require monitoring.
Question 4 of 5
Order: Neupogen (filgrastim) 300 mcg subcutaneous. stat. The patient weighs 132 pounds. The medication is available 300 mcg/mL. If the recommended dose is 5 mcg/kg/d/kg pres. 10 studeoen the prescribed dose is safe, how many milliliters will you administer?
Correct Answer: D
Rationale: 132 pounds ÷ 2.2 = 60 kg. Safe dose: 5 mcg/kg × 60 kg = 300 mcg, matching the order. 300 mcg ÷ 300 mcg/mL = 1 mL. Other options are incorrect.
Question 5 of 5
Which approach is a priority for the nurse who works with clients from many different cultures?
Correct Answer: D
Rationale: The nurse must discover personal attitudes, prejudices and biases specific to different cultures. Awareness of these will prevent negative consequences for interactions with clients and families across cultures.