NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A nurse is preparing to administer 250 mg of acetaminophen PO to a child. The medication is available as 160 mg/5 mL. How many mL should the nurse administer?
Correct Answer: B
Rationale: 250 mg ÷ 160 mg/5 mL = 7.8125 mL, rounded to 7.8 mL. Other options are incorrect.
Question 2 of 5
The morning staff of an inpatient psychiatric unit has just completed the change of shift report. The nurse should give priority to assessing the client:
Correct Answer: C
Rationale: A lithium level of 1.8 mEq/L is above the therapeutic range (0.6-1.2 mEq/L) and indicates potential toxicity, requiring immediate assessment. Answer A is important but less urgent unless the hallucinations are commanding harm. Answer B is incorrect as the client is only scheduled for therapy, not in immediate danger. Answer D is within normal WBC range and less critical.
Extract:
During examination of a 36-year-old woman's right breast, you palpate a lump.
Question 3 of 5
Which characteristic most suggests that the lump may be malignant?
Correct Answer: B
Rationale: Irregular shape is a concerning feature of malignant breast lumps.
Extract:
Question 4 of 5
The nurse is preparing to administer a dose of warfarin (Coumadin) to a client with atrial fibrillation. The client’s INR is 4.5. The nurse should
Correct Answer: B
Rationale: An INR of 4.5 (therapeutic range: 2–3 for atrial fibrillation) indicates over-anticoagulation, increasing bleeding risk, so the dose should be held and the physician notified. Administering (
A) or reducing (
C) is unsafe, and vitamin K (
D) requires a physician order.
Extract:
A teen-ager was diagnosed with iron-deficiency anemia.
Question 5 of 5
Appropriate diagnostic test would be:
Correct Answer: D
Rationale: A complete blood count (CB
C) assesses hemoglobin, hematocrit, and other parameters for anemia.