NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). Which of the following interventions should the nurse include in the plan of care? (Select all that apply)
Correct Answer: A,C,D
Rationale: Pursed-lip breathing improves oxygenation, high-calorie/protein diets support nutrition, and smoking cessation prevents progression. High oxygen risks CO2 retention, and excessive fluids are not standard.
Question 2 of 5
While assessing a client with AIDS, the nurse notes a reddish-purple discoloration on the client's eyelid. This finding is most consistent with:
Correct Answer: D
Rationale: Kaposi's sarcoma, common in AIDS, presents as reddish-purple lesions, including on the eyelid. Other conditions affect the retina or eyelid structure differently.
Question 3 of 5
What is the primary nutritional deficiency of concern for a strict vegetarian?
Correct Answer: B
Rationale: Vitamin B12 is primarily found in animal products, making it a common deficiency in strict vegetarians, potentially leading to anemia or neurological issues. The other nutrients are more readily available in plant-based diets. Health Promotion and Maintenance
Question 4 of 5
The nurse is assessing a client with a history of asthma who presents with wheezing and shortness of breath. The nurse should prioritize which of the following actions?
Correct Answer: A
Rationale: Wheezing and shortness of breath in asthma indicate bronchoconstriction, and administering a bronchodilator (e.g., albuterol) as ordered is the priority to relieve airway obstruction. Supine positioning (
B) worsens breathing, X-rays (
C) are diagnostic, and deep breathing (
D) is secondary.
Question 5 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.