NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
An agitated, confused client arrives in the emergency department. The client's history includes type 1 diabetes, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the nurse teaches the client to treat hypoglycemia by ingesting:
Correct Answer: B
Rationale:
To reverse hypoglycemia, the American Diabetes Association recommends ingesting 10 to 15 g of a simple carbohydrate, such as three to five pieces of hard candy, two to three packets of sugar (4 to 6 tsp), or 4 oz of fruit juice. If necessary, this treatment can be repeated in 15 minutes. Ingesting only 2 to 5 g of a simple carbohydrate may not raise the blood glucose level sufficiently. Ingesting more than 15 g may raise it above normal, causing hyperglycemia.
Question 2 of 5
A nurse is delegating tasks to a nursing assistant. Which of the following tasks is appropriate to delegate?
Correct Answer: C
Rationale: Assisting with ambulation is within a nursing assistant’s scope, promoting safety and mobility. Medication administration, sterile procedures, and care planning require licensed nurse skills.
Extract:
Which of the following female patients is at the highest risk for the development of breast cancer?
Question 3 of 5
A 28-year-old who was 10 years old at menarche.
Correct Answer: A
Rationale: Early menarche (before age 12) is a known risk factor for breast cancer due to prolonged exposure to estrogen.
Extract:
Question 4 of 5
A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. Which of the following oxygen delivery devices is most appropriate for this patient?
Correct Answer: C
Rationale: The Venturi mask delivers precise oxygen concentrations, critical for COPD patients to avoid CO2 retention. Nasal cannulas are less precise, and non-rebreather or simple masks deliver high oxygen inappropriately.
Question 5 of 5
Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia. Which finding signals a significant problem during this procedure?
Correct Answer: B
Rationale: An increased WBC count indicates infection, probably resulting from peritonitis, which may have been caused by insertion of the peritoneal catheter into the peritoneal cavity. Peritonitis can cause the peritoneal membrane to lose its ability to filter solutes; therefore, peritoneal dialysis would no longer be a treatment option for this client. Hyperglycemia occurs during peritoneal dialysis because of the high glucose content of the dialysate; it's readily treatable with sliding-scale insulin. A potassium level of 3.8 mEq/L is an acceptable value. An HCT of 35% is lower than normal. However, in this client, the value isn't abnormally low because of the daily blood samplings. A lower HCT is common in clients with chronic renal failure because of the lack of erythropoietin.