NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a patient with acute pancreatitis. Which of the following interventions should the nurse implement first?
Correct Answer: A
Rationale: Pain management is the priority in acute pancreatitis to reduce patient distress and pancreatic stimulation. NG tubes, fluids, and ambulation follow based on orders and condition.
Extract:
A 25-year-old young male comes into the ER following a motorbike accident. Upon obtaining a recent history, the patient states he fell in the ground and hit his head on the pavement. He reports that he was unconscious for 15 seconds and then confused for several minutes.
Question 2 of 5
What is the first diagnostic test to perform on this patient?
Correct Answer: C
Rationale: A CT scan must be performed as soon as possible to rule out a cerebral hemorrhage. Blurred vision and loss of consciousness may indicate a severe brain injury.
Extract:
Question 3 of 5
A hospitalized client asks the nurse for 'something for pain.' Which information is most important for the nurse to gather before administering the medication? Select all that apply:
Correct Answer: A,B,C,D,F
Rationale: The nurse needs to know when the last dose was administered. Some clients request pain medication earlier than is ordered by the physician. Pain, the fifth vital sign, should be assessed using a pain scale and documented in the nursing notes whenever a pain medication is given. Pain is usually reassessed about 30 minutes after the medication is given. Physicians commonly order several different types of pain medication based on the client's condition. The nurse should know which medication and which route was used to administer prior dosages. Evaluating the effectiveness of medications is also an important nursing function when managing the client's pain.
Therefore, she should ask the client if the prior dose was helpful. The nurse should also note whether the client experienced any adverse effects of the medication. Most medications are ordered based on the client's admission weight, not current weight and height. A client's weight may fluctuate when he's in the hospital, so it's unlikely that the nurse will have the most current weight available. Also, taking steps to obtain the client's current weight postpones the pain treatment and can potentially worsen pain.
Extract:
Baby Larry was born with Down's syndrome.
Question 4 of 5
When performing physical assessment, the nurse should carefully evaluate the infant's:
Correct Answer: A
Rationale: Cardiac anomalies often accompany other genetic problems such as Down syndrome. 30 to 40% of these infants have congenital heart defects.
Extract:
The physician prescribes Isordil 10 mg PRN TID and a nitroglycerin transdermal disc once a day for a patient with chronic angina pectoris. The patient asks the nurse why the Isordil is prescribed.
Question 5 of 5
The nurse's best response would be:
Correct Answer: C
Rationale: Isordil, a nitrate, dilates coronary arteries, increasing oxygen delivery to the heart.