NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
In Rh incompatibility, the father is Rh positive and the mother is Rh negative.
Question 1 of 5
Rhogam must be administered:
Correct Answer: A
Rationale: Rhogam is given after abortion or delivery to prevent Rh sensitization.
Extract:
Francis' serum K+ level is 3.8 mEq/L. Potassium chloride 40 mEq has been prescribed to be added to the first liter of IV fluid.
Question 2 of 5
The nurse should
Correct Answer: C
Rationale: Ketoacidosis means high blood glucose. Insulin is expected to be administered to lower the blood glucose level. Insulin transports potassium back to the cell, so potassium IV is usually given prophylactically with insulin.
Extract:
Question 3 of 5
A nurse is to administer 500 mL of IV fluid over 4 hours. The IV tubing has a drop factor of 20 drops per mL. What is the flow rate in drops per minute?
Correct Answer: B
Rationale: 500 mL ÷ 4 hours = 125 mL/h. (125 mL/h ÷ 60 min) × 20 gtt/mL = 41.67 gtt/min, rounded to 42 gtt/min. Other options are incorrect.
Extract:
The patient has been receiving 2500 ml of IV fluid and 300 to 400 ml of oral intake daily for 2 days. The patient's urine output has been decreasing and now has been less than 40 ml per hour for the past 3 hours.
Question 4 of 5
The nurse should immediately:
Correct Answer: B
Rationale: The imbalance in intake and output, with decreasing urinary output, may indicate renal failure or fluid overload, potentially leading to congestive heart failure. Assessing breath sounds and vital signs is the first step.
Extract:
Question 5 of 5
A nurse is caring for a patient in the first stage of labor. Which of the following interventions should the nurse implement to promote comfort? (Select all that apply)
Correct Answer: A,B,C,E
Rationale: Walking, ice chips, warm showers, and breathing techniques reduce discomfort and promote relaxation in early labor. Enemas are outdated and not routine.