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.
Question 2 of 5
One of the campers at summer camp sprains his ankle. What action can the nurse take to help reduce the pain?
Correct Answer: B
Rationale: Ice reduces swelling and pain in acute sprains. Exercise, dependent positioning, or steroids are inappropriate initially.
Question 3 of 5
After sustaining a closed head injury and numerous lacerations and abrasions to the face and neck, a five-year-old child is admitted to the emergency room. The client is unconscious and has minimal response to noxious stimuli. Which of the following assessments, if observed by the nurse three hours after admission, should be reported to the physician?
Correct Answer: B
Rationale: Clear fluid draining from the ear suggests cerebrospinal fluid (CSF) leakage, indicating a rupture of the meninges, which poses a risk of meningitis or other complications in a head injury. This must be reported immediately. Eyelid edema (
A) and minor bleeding (
C) are less urgent, and withdrawal to pain (
D) is consistent with the initial assessment.
Question 4 of 5
The nurse is caring for a preschool-aged child admitted with a diagnosis of suspected child abuse. During painful procedures, the child remains quiet and watchful. When planning the care of a victim of child abuse, the nurse should give priority to:
Correct Answer: B
Rationale: Assigning a consistent caregiver will best meet the child's need for safety and security. Playtime will be therapeutic for the child, but it does not have to be with same-age children, so answer A is incorrect. Answer C is too threatening to the child who has been abused, so it is incorrect. Answer D does not allow the child the chance to respond in an expected way, so it is incorrect.
Extract:
The PN assigned to Francis knows the importance of rotating insulin injection sites.
Question 5 of 5
Injection should be given in any one spot more often than every two weeks. Site rotation is important to prevent or combat which of the following complications?
Correct Answer: A
Rationale:
To avoid tissue atrophy or hypertrophy, patients should be taught to avoid injecting insulin in the same site each time. Rotating sites ensures consistent insulin absorption.