NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?
Correct Answer: B
Rationale: Morphine sulfate, a narcotic analgesic, causes central nervous system (CNS) and respiratory depression. In patients with head injuries, it is contraindicated because it masks signs of increased intracranial pressure (ICP), such as changes in level of consciousness, which are critical for monitoring neurological status. Promethazine is an antiemetic, docusate is a stool softener, and ranitidine prevents stress ulcers, none of which pose the same risk in this context.
Question 2 of 5
A nurse is administering insulin lispro (Humalog) to a patient with diabetes mellitus. Which of the following statements indicates the patient understands the medication?
Correct Answer: C
Rationale: Insulin lispro is a rapid-acting insulin administered immediately before meals to control postprandial glucose. Other timings disrupt glycemic control.
Extract:
During the second phase of bum recovery, the nurse anticipates that the client will exhibit
Question 3 of 5
high serum potassium level.
Correct Answer: B
Rationale: An increased urinary output is a sign of adequate hydration during the second phase of burn recovery.
Extract:
Question 4 of 5
Three days after a cast is applied to a fracture of the right lower leg the client begins to complain of pain beneath the cast. The nurse should give priority to:
Correct Answer: D
Rationale: Pain beneath a cast may indicate complications like compartment syndrome, requiring immediate physician notification. Elevation or medication may help but are secondary. Pain is not normal .
Question 5 of 5
The provider orders potassium chloride 1.25 mEq for a pediatric client. The solution contains 45 mEq per 15 mL. How many mL will you administer?
Correct Answer: B
Rationale: (1.25 mEq ÷ 45 mEq) × 15 mL = 0.4167 mL, rounded to 0.42 mL for practical administration. Other options are miscalculations.