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
The nurse is assessing a client with suspected anaphylaxis. Which of the following findings would require immediate intervention?
Correct Answer: B
Rationale: Wheezing and stridor indicate airway obstruction in anaphylaxis, a life-threatening emergency requiring immediate intervention (e.g., epinephrine). Rash (
A), itching (
C), and nausea (
D) are less urgent but still require monitoring.
Question 3 of 5
A client is admitted to the hospital with a diagnosis of deep vein thrombosis. During the initial assessment, the client complains of sudden shortness of breath. The SaO2 is 87. The priority nursing assessment at this time is
Correct Answer: D
Rationale: Lung sounds are critical assessments at this point. The nurse should be alert to crackles or a pleural friction rub, highly suggestive of a pulmonary embolism.
Extract:
Jane is a 30-year-old white female who presents to the neurology clinic with 2-year-history of progressive visual disturbance, emotional lability, impaired coordination, extremity weakness and aching, and dizziness. She says that she notices the symptoms more on very warm days and just after going to the gym.
Question 4 of 5
Given Jane's history, the most likely diagnosis is:
Correct Answer: A
Rationale: Progressive symptoms exacerbated by heat and exercise are characteristic of multiple sclerosis.
Extract:
The nurse recognizes that a pacemaker is indicated when a patient is experiencing:
Question 5 of 5
The nurse recognizes that a pacemaker is indicated when a patient is experiencing:
Correct Answer: C
Rationale: Heart block disrupts normal conduction, often requiring a pacemaker to maintain rhythm.