NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Ipsilateral pupil:
Question 1 of 5
Ipsilateral pupil:
Correct Answer: A
Rationale: Ipsilateral pupil dilation often occurs in conditions like brain herniation affecting the same side.
Extract:
Question 2 of 5
What question should the nurse ask the client who presents for an MRI test?
Correct Answer: C
Rationale: Metal in the body (e.g., implants) is contraindicated for MRI due to magnetic interference, making this question essential. Allergies, fasting, or laxatives are less relevant.
Extract:
A 78-year-old patient is admitted with pulmonary edema and given I.V. morphine sulfate.
Question 3 of 5
Why?
Correct Answer: C
Rationale: Morphine slows breathing and reduces anxiety in pulmonary edema, easing respiratory distress.
Extract:
Question 4 of 5
The charge nurse on a cardiac step-down unit makes assignments for the team consisting of a registered nurse (RN), a practical nurse (PN), and an unlicensed assistive personnel (UAP). Which client should be assigned to the PN?
Correct Answer: B
Rationale: This is the most stable client. The clients in options C and D require initial teaching. The client in option A is considered unstable since the dysrhythmia is a new onset.
Question 5 of 5
A client has a history of chronic undifferentiated schizophrenia. Because she has a history of noncompliance with antipsychotic therapy, she'll receive fluphenazine decanoate (Prolixin Decanoate) injections every 4 weeks. Before discharge, what should the nurse include in her teaching plan?
Correct Answer: B
Rationale: The nurse should teach the client how to manage common adverse reactions, such as orthostatic hypotension and anticholinergic effects. The antipsychotic effects of the drug may take several weeks to appear. Droperidol increases the risk of extrapyramidal effects when given in conjunction with phenothiazines such as fluphenazine. Tardive dyskinesia is a possible adverse reaction and should be reported immediately.