NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
Right documentation includes the name, dosage, route, and time of administration. When should you sign your initials on the medication administration record?
Correct Answer: B
Rationale: Signing immediately after administration confirms the dose was given, ensuring accurate documentation. Signing before risks errors, and waiting an hour delays accuracy.
Extract:
Marie is a 38-year-old primigravida who is admitted with a diagnosis of pregnancy induced hypertension (PIH).
Question 2 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:
Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia.
Question 3 of 5
Which of the following nursing interventions would be contraindicated to the patient with Leukemia?
Correct Answer: A
Rationale: Rectal temperatures risk rectal injury and infection in neutropenic patients.
Extract:
Question 4 of 5
The nurse is assessing a client with a history of migraines. Which of the following symptoms would the nurse expect the client to report?
Correct Answer: B
Rationale: Migraines typically cause unilateral throbbing pain with photophobia and nausea due to neurological sensitivity. Bilateral dull pain (
A) suggests tension headache, constant pain (
C) indicates chronic headache, and activity (
D) worsens migraines.
Question 5 of 5
A client has been taking perphenazine (Trilafon) by mouth for two days and now displays the following: head turned to the side, neck arched at an angle, stiffness and muscle spasms in neck. The nurse would expect to give which of the following as a PRN medication?
Correct Answer: B
Rationale: The symptoms describe acute dystonia, an extrapyramidal side effect of perphenazine. Biperiden, an antiparkinsonian agent, counteracts these effects. Promazine, thiothixene, and haloperidol (A, C,
D) are antipsychotics and would not relieve dystonia.