NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A patient is prescribed levothyroxine (Synthroid) for hypothyroidism. Which of the following instructions should the nurse include in the teaching plan?
Correct Answer: C
Rationale: Levothyroxine is best absorbed on an empty stomach, ensuring efficacy. Food or milk reduces absorption, and bedtime dosing is less critical than morning administration.
Question 2 of 5
A client receiving aminophylline complains of nausea and 'feeling jittery.' The nurse's first action should be to:
Correct Answer: D
Rationale: Nausea and jitteriness suggest aminophylline toxicity, so checking the drug level is the priority. Other actions address symptoms, not the cause.
Question 3 of 5
The nurse is preparing to boost a client up in bed. She instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?
Correct Answer: D
Rationale: Using a trapeze reduces shearing forces (opposing forces that cause layers of skin to move over each other, stretching and tearing capillaries and, eventually, resulting in necrosis), which increase the risk of pressure ulcer development. They can occur as clients slide down in bed or when they're pulled up in bed.
To reduce shearing forces, the nurse should instruct the client to use an overbed trapeze, place a draw sheet under the client to move the client up in bed, and keep the head of the bed no higher than 30 degrees. The risks of friction, impaired circulation, and localized pressure aren't decreased with trapeze use.
Question 4 of 5
While assessing a pre-op client, the nurse learns that the client is allergic to shellfish. How might this data affect the client's surgical experience?
Correct Answer: B
Rationale: Shellfish allergy indicates potential iodine sensitivity, which may require altering the skin preparation (e.g., avoiding iodine-based solutions like Betadine).
Question 5 of 5
An infant weighed 7 pounds 8 ounces at birth. If growth occurs at a normal rate, what would be the expected weight change at 6 months of age?
Correct Answer: A
Rationale: Double the birth weight. Although growth rates vary, infants normally double their birth weight by 6 months.