NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
To evaluate possible laryngeal nerve injury following a thyroidectomy, the nurse on an hourly basis should:
Question 1 of 5
Ask the patient to speak.
Correct Answer: A
Rationale: If the laryngeal nerves are injured bilaterally during surgery, the vocal cords will tighten, interfering with speech. If one cord is affected, hoarseness develops. This can be evaluated simply by having the patient speak every hour.
Extract:
Question 2 of 5
The physician has ordered thiamine 100 mg IM for a client with chronic alcoholism. The primary reason for giving thiamine is:
Correct Answer: C
Rationale: Thiamine is given to treat or prevent neurological symptoms, such as Wernicke's encephalopathy, caused by thiamine deficiency in chronic alcoholism.
Extract:
While retrieving her voice messages, the public health nurse received a call from the patient who is receiving short acting insulin for her diabetes. The patient states, 'I know I have a severely low sugar since the regular insulin was given 3 hours ago and it peaks in 2 hours.'
Question 3 of 5
When the nurse returns the call, the first question she will ask the patient would be?
Correct Answer: B
Rationale: Hypoglycemia is likely if the patient has not eaten post-insulin, making this the priority question to assess the cause.
Extract:
Question 4 of 5
The nurse notes that a client has received a medication by mistake. What should the nurse do?
Correct Answer: D
Rationale: Reporting to the supervisor and physician with documentation of prescribed treatment ensures proper management of a medication error without referencing the incident report in notes.
Question 5 of 5
The nurse is preparing to discharge a client with a new prescription for metoprolol (Lopressor). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Metoprolol, a beta-blocker, can cause bradycardia, so checking the pulse (holding if <60 bpm) prevents adverse effects. High-fiber meals (
A) are unrelated, stopping for dizziness (
C) requires physician consultation, and potassium (
D) is relevant for diuretics, not beta-blockers.