NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Which of the following is the appropriate narcotic-analgesic ordered to provide pain relief on the patient with pancreatitis?
Question 1 of 5
Codeine 30 mgs.
Correct Answer: C
Rationale: Demerol is preferred for pancreatitis to avoid morphine's effect on the sphincter of Oddi.
Extract:
Question 2 of 5
The nurse is assessing a client with chronic renal failure receiving peritoneal dialysis. Which of the following findings would require an intervention by the nurse?
Correct Answer: C
Rationale: Cloudy drainage from the catheter site indicates peritonitis, a serious complication requiring immediate intervention (e.g., antibiotics, physician notification). Abdominal fullness (
A) and bruising (
D) are common during early exchanges, and constipation (
B) is managed with diet or stool softeners.
Question 3 of 5
A client with sickle cell disease is admitted with a diagnosis of pneumonia. Which nursing intervention would be most helpful to prevent a vasocclusive crisis?
Correct Answer: D
Rationale: Hydration is needed to prevent slowing of blood flow and occlusion. It is important to perform the assessments in answers A, B, and C, but D is the best intervention for the prevention of the crisis.
Extract:
If Larissa, an IDDM, is in acute ketoacidosis
Question 4 of 5
The nurse would expect to see which of the following group of symptoms?
Correct Answer: A
Rationale: Ketoacidosis presents with vomiting, thirst, diuresis, and risk of coma due to metabolic acidosis.
Extract:
Question 5 of 5
A throat culture is positive for Streptococcus. An antibiotic is prescribed. Which question is it essential for the nurse to ask the client before administering the medication?
Correct Answer: D
Rationale: Streptococcal infections are commonly treated with penicillin or related antibiotics. Asking about penicillin allergies is critical to prevent anaphylaxis. Sulfa, vitamins, or alcohol are less relevant.