NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
After the patient has refused the medication, the next step taken by the nurse will be:
Question 1 of 5
Document the patient's refusal.
Correct Answer: B
Rationale: Exploring the reason for refusal helps address concerns and promote adherence.
Extract:
Question 2 of 5
The client's mother contacts the clinic regarding medication administration stating, 'My daughter can't swallow this capsule. It's too large.' Investigation reveals that the medication is a capsule marked SR. The nurse should instruct the mother to:
Correct Answer: C
Rationale: SR (sustained release) capsules cannot be opened or crushed, as this alters their release mechanism. The pharmacist should be contacted for an alternative formulation.
Question 3 of 5
A victim of domestic violence states, 'If I were better, I would not have been beat.' Which feeling best describes what the victim may be experiencing?
Correct Answer: C
Rationale: Self-blame. Victims often internalize blame, believing their behavior causes the abuse, which is a common misconception.
Question 4 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.
Extract:
Which of the following is the most important physical assessment parameter the nurse would consider when assessing fluid and electrolyte balance?
Question 5 of 5
Skin turgor
Correct Answer: B
Rationale: Intake and output provide the most direct measure of fluid balance.