NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
An 8-year-old admitted with an upper respiratory infection has an order for O2 saturation via pulse oximeter. To ensure an accurate reading, the nurse should:
Correct Answer: D
Rationale: Placing the probe on the finger or earlobe ensures accurate measurement of oxygen saturation, as these areas have good peripheral blood flow. The abdomen is not suitable, recalibration is not routinely required, and waiting 15 minutes is unnecessary.
Question 2 of 5
A client who has ulcerative colitis is receiving prednisone. The nurse knows the primary reason the client is receiving prednisone is to:
Correct Answer: A
Rationale: Prednisone, a corticosteroid, suppresses bowel inflammation in ulcerative colitis, reducing symptoms like diarrhea and bleeding. It does not affect peristalsis, acid, or bacteria directly.
Extract:
Thirty-minutes after the blood transfusion was started, the patient complains of urticaria in the chest, abdomen and both thighs.
Question 3 of 5
The PN will implement which nursing action as a priority?
Correct Answer: A
Rationale: Urticaria indicates a possible transfusion reaction, and the priority is to stop the infusion to prevent further complications.
Extract:
Question 4 of 5
A client has a history of chronic undifferentiated schizophrenia. Because she has a history of noncompliance with antipsychotic therapy, she'll receive fluphenazine decanoate (Prolixin Decanoate) injections every 4 weeks. Before discharge, what should the nurse include in her teaching plan?
Correct Answer: B
Rationale: The nurse should teach the client how to manage common adverse reactions, such as orthostatic hypotension and anticholinergic effects. The antipsychotic effects of the drug may take several weeks to appear. Droperidol increases the risk of extrapyramidal effects when given in conjunction with phenothiazines such as fluphenazine. Tardive dyskinesia is a possible adverse reaction and should be reported immediately.
Question 5 of 5
A nurse has just started on the 7PM surgical unit shift. Which of the following patients should the nurse check on first?
Correct Answer: B
Rationale: The new onset of urinary incontinence may require additional medical assessment, and the physician needs to be notified.