NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
For a client with suspected appendicitis, the nurse should expect to find abdominal tenderness in which quadrant?
Correct Answer: C
Rationale: Appendicitis typically causes tenderness in the lower-right quadrant (McBurney's point) due to the appendix's anatomical location. Physiological Adaptation
Question 2 of 5
A woman who has emphysema is on continuous oxygen therapy. She appears anxious and short of breath. Her husband increases the oxygen flow to 6 L/min. The nurse knows this action is most likely to:
Correct Answer: D
Rationale: Increasing oxygen flow in emphysema can suppress the hypoxic drive, risking respiratory depression, a serious concern.
Question 3 of 5
A patient is prescribed 1,000 mL of IV fluid to be infused over 8 hours. The IV tubing has a drop factor of 15 drops per mL. What is the flow rate in drops per minute?
Correct Answer: C
Rationale: 1,000 mL ÷ 8 hours = 125 mL/h. (125 mL/h ÷ 60 min) × 15 gtt/mL = 31.25 gtt/min, rounded to 31 gtt/min. Other options are incorrect.
Question 4 of 5
A 3 year-old child comes to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, skin hot to touch, sits leaning forward, tongue protruding, drooling and suprasternal retractions. What should the nurse do first?
Correct Answer: D
Rationale: These findings suggest a medical emergency and may be due to epiglottitis. Any child with an acute onset of an inflammatory response in the mouth and throat should receive immediate attention in a facility equipped to perform intubation or a tracheostomy in the event of further or complete obstruction.
Extract:
A male, Hispanic client with history of excessive 'alcohol-drinking', was admitted with a diagnosis of recurrent pancreatitis. On admission, the client was complaining of unbearable pain.
Question 5 of 5
The nurse
Correct Answer: A
Rationale: Demerol is preferred for pancreatitis pain to avoid sphincter of Oddi spasm associated with morphine.