NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
An adult is scheduled for surgery today and has signed an operative permit. As the nurse is about to administer the client's preoperative medication, the client says that she has changed her mind and no longer wishes to have the surgery. How should the nurse respond?
Correct Answer: C
Rationale: The client has the right to withdraw consent. Notifying the physician allows discussion and respects autonomy. Signed consents are not binding, medication should be withheld, and reassurance dismisses concerns.
Question 2 of 5
The nurse is caring for an adult who had a transsphenoidal hypophysectomy earlier today. The client is now on the surgical unit after an uneventful stay in the postanesthesia care unit. How should the nurse position the client?
Correct Answer: C
Rationale: Semi-reclining reduces intracranial pressure and prevents cerebrospinal fluid leakage post-transsphenoidal hypophysectomy. Supine increases leakage risk, and upright or side-lying are less optimal.
Extract:
Which of the following activities will be appropriate on the patient who was 7 - days post above-the-knee amputation?
Question 3 of 5
Muscle exercises
Correct Answer: A
Rationale: Muscle exercises promote strength and circulation, aiding recovery post-amputation.
Extract:
Question 4 of 5
The physician prescribes penicillin potassium oral suspension 56 mg/kg/day in four divided doses for a client with anorexia nervosa who weighs 25 kg. The medication dispensed by the pharmacy contains a dosage strength of 125 mg/5 ml. How many milliliters of solution should the nurse administer with each dose?
Correct Answer: A
Rationale:
To determine the total daily dosage, set up the following proportion: 25 kg/X = 1 kg/56 mg, X = 1,400 mg. Next, divide the daily dosage by four doses to determine the dose to administer every 6 hours: X = 1,400 mg/4 doses, X = 350 mg/dose. The adolescent should receive 350 mg every 6 hours. Lastly, calculate the volume to give for each dose by setting up this proportion: X/350 mg = 5 ml/125 mg, X = 14 ml.
Question 5 of 5
Major competencies for the nurse giving end-of-life care include:
Correct Answer: A
Rationale: Demonstrating respect, compassion, and skilled care is a core competency for end-of-life nursing, addressing both client and family needs. The other options are either incomplete or inappropriate. Basic Care and Comfort