NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
An adult is admitted with nausea, vomiting, and diarrhea. The client is receiving an IV of dextrose 5% in water with 40 mEq of KCl. The nurse knows the potassium is added to do which of the following?
Correct Answer: A
Rationale: Vomiting and diarrhea cause significant potassium loss, requiring IV potassium replacement to prevent hypokalemia.
Question 2 of 5
The nurse is teaching about nonsteroidal anti-inflammatory drugs (NSAIDs) to a group of arthritic clients. To minimize the side effects, the nurse should emphasize which of the following actions?
Correct Answer: B
Rationale: Taking the medication 1 hour before or 2 hours after meals. Taking the medication 1 hour before or 2 hours after meals will result in a more rapid effect.
Question 3 of 5
Following an arteriogram, the nurse should give priority to:
Correct Answer: D
Rationale: Checking distal pulses ensures adequate circulation post-arteriogram, as the procedure involves arterial puncture, which can lead to complications like hematoma or thrombosis.
Question 4 of 5
The nurse is caring for a 4-year-old child in the emergency department who has a 104 F (40 C) temperature, is obtunded, and has a positive Kernig's sign. The parents are refusing antibiotics and any treatment. The parents state that their religious belief is to trust in just prayer and believe the child will receive divine healing. What action does the nurse anticipate?
Correct Answer: C
Rationale: A 4-year-old with suspected meningitis requires urgent treatment. Notifying administration (
C) ensures legal and ethical intervention to protect the child. AMA (
A), power of attorney (
B), or respecting autonomy (
D) are inappropriate for a minor.
Question 5 of 5
The nurse has reinforced teaching with a client who has rheumatoid arthritis and is receiving methotrexate. Which of the following statements by the client would require follow-up?
Correct Answer: D
Rationale: Avoiding alcohol (
A), preventing pregnancy (
B), and avoiding crowds (
C) are correct. Avoiding folic acid (
D) is incorrect, as methotrexate often requires folic acid supplementation to reduce side effects.