NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
The patient is receiving Lasix. The doctor made his round this morning and ordered ampicillin medication. The patient is to receive 3 grams of ampicillin per day. The ampicillin available stock is 500 mg/capsule.
Question 1 of 5
How many capsules would you administer to the patient?
Correct Answer: A
Rationale: 3 grams = 3000 mg; 3000 mg ÷ 500 mg/capsule = 6 capsules daily.
Extract:
Question 2 of 5
A nurse assessing the newborn of a mother with diabetes understands that hypoglycemia is related to what?
Correct Answer: A
Rationale: Disruption of fetal glucose supply. After delivery, the high glucose levels which crossed the placenta to the fetus are suddenly stopped. The newborn continues to secrete insulin in anticipation of glucose. When oral feedings begin, the newborn will adjust insulin production within a day or two.
Extract:
While retrieving her voice messages, the public health nurse received a call from the patient who is receiving short acting insulin for her diabetes. The patient states, 'I know I have a severely low sugar since the regular insulin was given 3 hours ago and it peaks in 2 hours.'
Question 3 of 5
When the nurse returns the call, the first question she will ask the patient would be?
Correct Answer: B
Rationale: Hypoglycemia is likely if the patient has not eaten post-insulin, making this the priority question to assess the cause.
Extract:
Question 4 of 5
A client with ulcerative colitis is taking Azulfidine (Sulfasalazine). Which of the following instructions should be included in the nurse's teaching?
Correct Answer: C
Rationale: Azulfidine is a maintenance medication for ulcerative colitis, and clients should continue taking it even during remission to prevent flare-ups.
Extract:
To evaluate possible laryngeal nerve injury following a thyroidectomy, the nurse on an hourly basis should:
Question 5 of 5
Ask the patient to speak.
Correct Answer: A
Rationale: If the laryngeal nerves are injured bilaterally during surgery, the vocal cords will tighten, interfering with speech. If one cord is affected, hoarseness develops. This can be evaluated simply by having the patient speak every hour.