NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A nurse is to administer 500 mL of IV fluid over 4 hours. The IV tubing has a drop factor of 20 drops per mL. What is the flow rate in drops per minute?
Correct Answer: B
Rationale: 500 mL ÷ 4 hours = 125 mL/h. (125 mL/h ÷ 60 min) × 20 gtt/mL = 41.67 gtt/min, rounded to 42 gtt/min. Other options are incorrect.
Question 2 of 5
The nurse in the outpatient clinic teaches the mother of a 10-year-old boy with asthma how to prevent future asthmatic attacks. The nurse would be MOST concerned if the mother made which of the following statements?
Correct Answer: B
Rationale: Raking leaves exposes the child to inhaled allergens (pollen, dust), a primary asthma trigger, increasing attack risk. Playing the tuba (
A), after-school activities (
C), and walking (
D) are generally safe unless exercise-induced asthma is present, which is not specified.
Question 3 of 5
The nurse is teaching parents of a newborn about feeding their infant. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Using the defrost setting on a microwave prevents overheating formula, but the temperature must be checked. Partially used bottles should be discarded after 4 hours, formula is mixed 1:1, and adding new formula to used bottles risks contamination. Health Promotion and Maintenance
Question 4 of 5
The home health care nurse is caring for a 30-year-old woman with type I diabetes mellitus. The client has been maintained on a regimen of NPH and regular insulin and a 1,800-calorie diabetic diet with normal blood sugar levels. Morning self-monitoring blood sugar (SMBG) readings the past two days were 205 mg/dL and 233 mg/dL. The nurse expects the physician to
Correct Answer: B
Rationale: Elevated morning blood sugar levels (205 and 233 mg/dL) suggest the dawn phenomenon, where early morning hyperglycemia occurs due to hormonal changes. Adjusting the evening NPH insulin dose (e.g., adding 3 units at 10 PM) helps control this. Reducing the diet (
A) is unnecessary, regular insulin (
C) peaks too early, and eliminating the snack (
D) may worsen control.
Extract:
Bonnie and 4-year-old daughter moved to a new apartment. Two days after the move the girl became ill and was taken to the ER. Lead poisoning was suspected (plumbism). Lead was possibly inhaled from the fresh paint in the apartment.
Question 5 of 5
The nurse is aware that lead can fatally affect the
Correct Answer: B
Rationale: Lead is inhaled and deposited in bone marrow, blocking the formation of RBC, but it can seriously affect the central nervous system (CNS), leading to fatal consequences.