NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A patient is prescribed nitroglycerin for angina. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Nitroglycerin is placed sublingually for rapid absorption to relieve angina. Swallowing or taking with water delays action, and meal timing is irrelevant.
Question 2 of 5
The nurse is teaching a client with a new diagnosis of glaucoma about the condition. Which of the following statements by the client indicates understanding?
Correct Answer: B
Rationale: Glaucoma involves increased intraocular pressure, and adherence to prescribed eye drops (e.g., timolol) is critical to prevent optic nerve damage. Dim light (
A) is unrelated, stopping medication (
C) is dangerous, and glaucoma results from reduced fluid drainage (not excess,
D).
Question 3 of 5
An adult is scheduled for surgery today and has signed an operative permit. As the nurse is about to administer the client's preoperative medication, the client says that she has changed her mind and no longer wishes to have the surgery. How should the nurse respond?
Correct Answer: C
Rationale: The client has the right to withdraw consent. Notifying the physician allows discussion and respects autonomy. Signed consents are not binding, medication should be withheld, and reassurance dismisses concerns.
Extract:
On the second day of surgery, the mother reported fever and rapid respirations on her child. The child's temperature was 39°C.
Question 4 of 5
The first action taken by the nurse should be to
Correct Answer: A
Rationale: Fever and rapid respirations post-surgery may indicate infection or complications, requiring immediate physician notification.
Extract:
Question 5 of 5
The nurse is performing a neurologic assessment on a 1-day-old neonate. Which of the following findings would indicate possible asphyxia in utero? Select all that apply:
Correct Answer: C,D,F
Rationale: Failure of the toes to curl downward when the baby's soles are stroked and lack of response to a loud sound can be evidence that neurological damage from asphyxia has occurred. The normal responses would be that the toes curl downward with stroking and that the arms and legs extend in response to a loud noise. Weak, ineffective sucking is another sign of neurologic damage; a neonate should root and suck when the side of his cheek is stroked. A neonate should also grasp a person's finger when it's placed in the palm of his hand, do stepping movements when held upright with the soles touching a surface, and turn toward an object when his cheek is touched by it.