NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A patient is prescribed 1,000 mL of IV fluid to be infused over 8 hours. The IV tubing has a drop factor of 15 drops per mL. What is the flow rate in drops per minute?
Correct Answer: C
Rationale: 1,000 mL ÷ 8 hours = 125 mL/h. (125 mL/h ÷ 60 min) × 15 gtt/mL = 31.25 gtt/min, rounded to 31 gtt/min. Other options are incorrect.
Extract:
Which of the following is the appropriate narcotic-analgesic ordered to provide pain relief on the patient with pancreatitis?
Question 2 of 5
Codeine 30 mgs.
Correct Answer: C
Rationale: Demerol is preferred for pancreatitis to avoid morphine's effect on the sphincter of Oddi.
Extract:
Question 3 of 5
A client with end-stage renal disease received a renal transplant 2 weeks ago. Which of the following is an early sign of rejection of the transplant?
Correct Answer: B
Rationale: Early signs of renal transplant rejection include tenderness over the graft site, fever, and decreased urine output due to impaired kidney function. Increased urinary output is not associated with rejection, and while hypertension may occur, it is not a specific early sign.
Extract:
Screening for high blood cholesterol in the community is under:
Question 4 of 5
Screening for high blood cholesterol in the community is under:
Correct Answer: C
Rationale: Cholesterol screening is secondary prevention, identifying at-risk individuals for early intervention.
Extract:
The nurse is reviewing laboratory results on a client with acute renal failure.
Question 5 of 5
Which one of the following lab values should be reported immediately?
Correct Answer: D
Rationale: A serum potassium of 5.9 mEq/L indicates hyperkalemia, which can cause life-threatening cardiac arrhythmias and requires immediate reporting.