NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
An adult has returned to the nursing care unit following abdominal surgery. She has an order for meperidine IM PRN for severe pain or acetaminophen #3 PO PRN for mild to moderate pain. The nurse asks the client if she is experiencing pain now, and she states, 'Yes, I am.' What is the most appropriate initial action for the nurse?
Correct Answer: C
Rationale: Assessing pain location and degree using a scale determines the appropriate medication (mild vs. severe), ensuring tailored pain management.
Extract:
To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:
Question 2 of 5
To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:
Correct Answer: B
Rationale: Coughing and deep breathing promote lung expansion and secretion clearance post-chest drainage.
Extract:
The client is taking Aminophylline.
Question 3 of 5
The nurse knows that the client is having problem if she observes that the client is:
Correct Answer: B
Rationale: Restlessness is a sign of aminophylline toxicity, indicating a need for intervention.
Extract:
You were walking in the hallway of the long term facility, you found Jeffrey surrounded by friends and visitors. He was unresponsive, no pulse, and no breathing.
Question 4 of 5
Which one is the most appropriate action taken by the nurse?
Correct Answer: A
Rationale: Initiating CPR is the immediate action for an unresponsive patient with no pulse or breathing.
Extract:
Question 5 of 5
A mother brings her two-year-old boy to the pediatrician's office. Which of the following symptoms would suggest to the nurse that the child has strabismus?
Correct Answer: C
Rationale: Strabismus is characterized by misaligned eyes, causing the brain to receive two images. Closing one eye to focus (as in choice
C) is a compensatory behavior to avoid double vision.
Choices A and B suggest refractive errors, and choice D indicates cataracts or peripheral vision issues.