NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Which of the following signs should the nurse be aware of on a patient who is taking prednisone?
Question 1 of 5
Melena
Correct Answer: A
Rationale: Prednisone can cause gastrointestinal irritation, leading to melena, a sign of bleeding.
Extract:
Question 2 of 5
A nurse is caring for a client who had a closed reduction of a fractured right wrist followed by the application of a fiberglass cast 12 hours ago. Which finding requires the nurse's immediate attention?
Correct Answer: C
Rationale: Client reports prickling sensation in the right hand. A prickling sensation is an indication of compartment syndrome and requires immediate action by the nurse. The other findings are normal for a client in this situation.
Extract:
Marie is a 38-year-old primigravida who is admitted with a diagnosis of pregnancy induced hypertension (PIH).
Question 3 of 5
Priority nursing care on the patient with PIH include:
Correct Answer: C
Rationale: Low urine output (335 ml/24 hours) indicates possible renal involvement in PIH, a priority for monitoring and reporting to prevent further complications.
Extract:
Question 4 of 5
A nurse is assigned to care for a comatose diabetic on IV insulin therapy. Which task would be most appropriate to delegate to an unlicensed assistive personnel (UAP)?
Correct Answer: B
Rationale: The UAP can safely obtain blood glucose readings, which are routine tasks.
Question 5 of 5
The nurse is administering terbutaline (Brethine) to a client in labor. Prior to administration of the medication, the nurse assesses the client's pulse to be 144. The nurse's priority action should be to
Correct Answer: A
Rationale: Terbutaline, a tocolytic, can cause maternal tachycardia. A pulse of 144 indicates significant tachycardia, a side effect requiring the medication to be withheld to prevent further cardiovascular strain. Decreasing the dose (
B) is not within nursing scope, administering (
C) ignores the risk, and waiting (
D) delays intervention.