NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
Following mitral valve replacement surgery a client develops PVC's. The health care provider orders a bolus of Lidocaine followed by a continuous Lidocaine infusion at a rate of 2 mg/minute. Which finding indicates that the client is experiencing lidocaine toxicity?
Correct Answer: D
Rationale: No measurable voiding in 4 hours. The concern is possible hyperkalemia, which could occur with continued potassium administration and a decrease in urinary output since potassium is excreted via the kidneys.
Question 2 of 5
The physician prescribes meperidine (Demerol), 1.1 mg/kg I.M., for a 16-month-old child who has just had abdominal surgery. When administering this drug, the nurse should use a needle of which size?
Correct Answer: C
Rationale: For an infant, the nurse should use a needle with the smallest appropriate gauge for the medication to be given. For an I.M. injection of meperidine, a 25G to 22G needle is appropriate.
Extract:
Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia.
Question 3 of 5
Incidence of Leukemia is higher in children. Pathophysiology of infection in Leukemia is due primarily to:
Correct Answer: C
Rationale: Elevated WBC with impaired function (neutropenia) predisposes to infections in leukemia.
Extract:
A patient with complaints of loss of peripheral vision
Question 4 of 5
A patient with complaints of loss of peripheral vision is suspected to have
Correct Answer: C
Rationale: Glaucoma causes peripheral vision loss due to increased intraocular pressure.
Extract:
Question 5 of 5
The nurse in the outpatient clinic teaches the mother of a 10-year-old boy with asthma how to prevent future asthmatic attacks. The nurse would be MOST concerned if the mother made which of the following statements?
Correct Answer: B
Rationale: Raking leaves exposes the child to inhaled allergens (pollen, dust), a primary asthma trigger, increasing attack risk. Playing the tuba (
A), after-school activities (
C), and walking (
D) are generally safe unless exercise-induced asthma is present, which is not specified.