NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Following major abdominal surgery, Mrs. Lafayette, was started on Morphine infusion via PCA (patient's controlled analgesia) pump.
Question 1 of 5
Priority nursing care for the patient would include:
Correct Answer: A
Rationale: Morphine sulfate is a central nervous system depressant, and respiratory depression is a serious side effect, making respiratory status the priority.
Extract:
Question 2 of 5
A child at school trips on a shoe lace and falls. Her ankle swells immediately, and the child is in a great deal of pain. What is the best initial action for the nurse to take?
Correct Answer: C
Rationale: Elevation and ice reduce swelling and pain in acute ankle injuries, following RICE (rest, ice, compression, elevation) principles.
Question 3 of 5
An adolescent with type 1 diabetes mellitus is experiencing a growth spurt. Which treatment approach would be most effective for this client?
Correct Answer: B
Rationale: During an adolescent growth spurt, a regimen of multiple insulin doses achieves better control of the blood glucose level because it more closely simulates endogenous insulin release. A single daily dose of insulin wouldn't control this client's blood glucose level as effectively. Limiting dietary fat intake wouldn't help the body use glucose at the cellular level. An adolescent with type 1 diabetes mellitus doesn't produce insulin and therefore can't receive an oral antidiabetic agent instead of insulin.
Extract:
The physician orders a paracentesis for a patient with ascites.
Question 4 of 5
Before the procedure, the nurse should instruct the patient to:
Correct Answer: A
Rationale: Emptying the bladder prevents injury during paracentesis needle insertion.
Extract:
Question 5 of 5
The nurse is preparing to administer insulin to a client with type 1 diabetes. The client is prescribed 10 units of regular insulin and 20 units of NPH insulin. The nurse should
Correct Answer: A
Rationale: When mixing regular and NPH insulin, draw up regular (clear) insulin first to prevent contamination with NPH (cloudy). Mixing in one syringe (not separate,
C) is standard, and a 1:1 ratio (
D) is incorrect as doses are specific (10:20 units).