NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 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.
Extract:
Prior to a cholecystectomy, the physician orders vitamin K.
Question 2 of 5
This is administered because it is used in the formation of:
Correct Answer: B
Rationale: Vitamin K is essential for prothrombin synthesis, correcting clotting deficits.
Extract:
A 55-year-old male patient was admitted with a diagnosis of BPH (benign prostatic hypertrophy).
Question 3 of 5
Which of the following herbal medications, when asked by the patient, is appropriate alternative treatment?
Correct Answer: C
Rationale: Saw palmetto is commonly used to alleviate BPH symptoms by reducing prostate inflammation.
Extract:
Question 4 of 5
A client with insulin-dependent diabetes mellitus takes Lantus insulin. At what time of the day would the nurse administer the insulin?
Correct Answer: D
Rationale: Lantus is a long-acting insulin typically administered at bedtime (e.g., 2100) to provide steady glucose control overnight and throughout the next day.
Question 5 of 5
The provider orders potassium chloride 1.25 mEq for a pediatric client. The solution contains 45 mEq per 15 mL. How many mL will you administer?
Correct Answer: B
Rationale: (1.25 mEq ÷ 45 mEq) × 15 mL = 0.4167 mL, rounded to 0.42 mL for practical administration. Other options are miscalculations.