NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
A patient who has recently experienced a thrombotic CVA
Question 1 of 5
A patient who has recently experienced a thrombotic CVA will most likely receive which of the following treatments?
Correct Answer: C
Rationale: Heparin is used to prevent further clot formation in thrombotic CVA.
Extract:
Question 2 of 5
A nurse is caring for a 37-year-old woman with metastatic ovarian cancer admitted for nausea and vomiting. The physician orders total parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of the following is the BEST indication that the patient's nutritional status has improved after 4 days?
Correct Answer: C
Rationale: Albumin levels are the best indicator of long-term nutritional status, reflecting protein stores. A level of 4.0 mg/dL (normal range 3.5–5.0 g/dL) suggests improved nutrition after TPN. Eating more (
A) is subjective, weight gain (
B) may reflect fluid retention, and low hemoglobin (
D) is unrelated to nutrition and more likely due to cancer or chemotherapy.
Question 3 of 5
A 7-year-old boy is in the hospital with Reye's syndrome. He has been ill for two weeks with the flu. He ran high fevers and was treated with four baby aspirin alternating with 325-mg chewable Tylenol and sponge baths to control the fever. He also had a rash on his body that was itchy, and his mother used lotion and Benadryl to control the itching. Besides history of the flu, which factor in his history is associated with development of Reye's syndrome?
Correct Answer: C
Rationale: Aspirin use in children with viral infections, like the flu, is strongly linked to Reye's syndrome, a rare but serious condition affecting the liver and brain.
Extract:
In Cushing's syndrome excessive amounts of glucocorticoids and mineralcorticoids will increase the patient's:
Question 4 of 5
In Cushing's syndrome excessive amounts of glucocorticoids and mineralcorticoids will increase the patient's:
Correct Answer: B
Rationale: Excess glucocorticoids elevate glucose by promoting gluconeogenesis.
Extract:
Question 5 of 5
The nurse is caring for a client who is receiving oxygen therapy. A visitor yells at the nurse saying there is a fire burning in the wastebasket on the other side of the room. What should the nurse do initially?
Correct Answer: C
Rationale: Oxygen fuels fires; turning it off and removing the client from the room prioritizes safety. Seeking help or using an extinguisher delays evacuation.