NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
A parent brings her 3 month-old into the clinic, reporting that the child seems to be spitting up all the time and has a lot of gas. The nurse expects to find which of the following on the initial history and physical assessment?
Correct Answer: B
Rationale: This infant could be experiencing gastroesophageal reflux, or could be allergic to the formula. Restlessness, irritability and increased mucus production can develop if an allergy is present.
Question 2 of 5
A client who received complete thickness burns at 7:30 a.m. was rushed to the emergency room where IV therapy with Lactated Ringer's was begun. He is to receive $8,000 \mathrm{~mL}$ of solution in 24 hours. According to the Parkland formula, how much solution should he receive by 11:30 p.m.?
Correct Answer: C
Rationale: The Parkland formula states half the total fluid (4,000 mL) is given in the first 8 hours (by 3:30 p.m.), and the remaining 4,000 mL over the next 16 hours. By 11:30 p.m. (16 hours post-burn), the client should have received 6,000 mL.
Question 3 of 5
The client is brought to the emergency department in handcuffs by the police. Witnesses said that the client became violent and confused after consuming large amounts of alcohol at a party. The client is placed in 4-point restraints, and ziprasidone hydrochloride is administered. The client is sleeping 30 minutes later. What is a priority action for the nurse at this time?
Correct Answer: B
Rationale: The client is now sleeping, suggesting reduced agitation. Determining if restraints can be removed (
B) is the priority to minimize harm and promote safety. Bipolar history (
A), ECG changes (
C), and blood alcohol level (
D) are important but less urgent.
Question 4 of 5
A practical nurse is collaborating with a registered nurse educator to develop materials for a hospital-wide campaign about zero tolerance for lateral violence and bullying among staff. Which actions should staff members be encouraged to perform if they experience workplace violence? Select all that apply.
Correct Answer: A, C, D, E
Rationale: Documenting incidents (
A), observing patterns (
C), reporting to administration (
D), and confronting unprofessional behavior (E) are proactive steps to address bullying. Ignoring comments (
B) may allow the behavior to persist.
Extract:
Laboratory reference ranges
Glucose (fasting)
70-110 mg/dL
(3.9-6.1 mmol/L)
Potassium
3.5-5 mEq/L
(3.5-5 mmol/L)
Question 5 of 5
The nurse is administering prescribed medications to assigned clients. The nurse should hold and seek clarification for which scheduled administrations? Select all that apply.
Correct Answer: B, C, D
Rationale: Vancomycin flushing (
B) suggests red man syndrome, vitamin E (
C) increases bleeding risk pre-surgery, and hyperkalemia (
D) contraindicates lisinopril. Lactulose (
A) and insulin (E) are appropriate.