NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
The PN assigned to Francis knows the importance of rotating insulin injection sites.
Question 1 of 5
Injection should be given in any one spot more often than every two weeks. Site rotation is important to prevent or combat which of the following complications?
Correct Answer: A
Rationale:
To avoid tissue atrophy or hypertrophy, patients should be taught to avoid injecting insulin in the same site each time. Rotating sites ensures consistent insulin absorption.
Extract:
A male client in the dermatologist's clinic asked the nurse for information on contraceptives. The nurse, who was aware of her limited knowledge on contraceptives, has provided contact number for information to the client.
Question 2 of 5
The nurse's action was based on the Regulatory Board's standard of practice which is:
Correct Answer: C
Rationale: Providing a contact number reflects competency by acknowledging limitations and ensuring accurate information.
Extract:
Question 3 of 5
An adult who has Bell's palsy says to the nurse, 'Will I always look this weird?' How should the nurse reply?
Correct Answer: B
Rationale: Bell's palsy often resolves completely within weeks to months, so reassuring the client of potential full recovery is accurate and supportive.
Question 4 of 5
The nurse on the psychiatric unit is caring for several clients. Which client needs the most immediate attention?
Correct Answer: C
Rationale: Screaming and running indicate potential danger to self or others, requiring immediate intervention to ensure safety.
Question 5 of 5
A client is receiving nitroglycerin ointment (Nitrol) to treat angina pectoris. The nurse evaluates the therapeutic effectiveness of this drug by assessing the client's response and checking for adverse effects. Which vital sign is most likely to reflect an adverse effect of nitroglycerin?
Correct Answer: C
Rationale: Hypotension and headache are the most common adverse effects of nitroglycerin.
Therefore, blood pressure is the vital sign most likely to reflect an adverse effect of this drug. The nurse should check the client's blood pressure 1 hour after administering nitroglycerin ointment. A blood pressure decrease of 10 mm Hg is within the therapeutic range. If blood pressure falls more than 20 mm Hg below baseline, the nurse should remove the ointment and report the finding to the physician immediately. An above-normal heart rate (tachycardia) is a less common adverse effect of nitroglycerin. Respiratory rate and temperature don't change significantly after nitroglycerin administration.