NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client's mother contacts the clinic regarding medication administration stating, 'My daughter can't swallow this capsule. It's too large.' Investigation reveals that the medication is a capsule marked SR. The nurse should instruct the mother to:
Correct Answer: C
Rationale: SR (sustained release) capsules cannot be opened or crushed, as this alters their release mechanism. The pharmacist should be contacted for an alternative formulation.
Question 2 of 5
A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?
Correct Answer: B
Rationale: Morphine sulfate, a narcotic analgesic, causes central nervous system (CNS) and respiratory depression. In patients with head injuries, it is contraindicated because it masks signs of increased intracranial pressure (ICP), such as changes in level of consciousness, which are critical for monitoring neurological status. Promethazine is an antiemetic, docusate is a stool softener, and ranitidine prevents stress ulcers, none of which pose the same risk in this context.
Question 3 of 5
The client's mother contacts the clinic regarding medication administration stating, 'My daughter can't swallow this capsule. It's too large.' Investigation reveals that the medication is a capsule marked SR. The nurse should instruct the mother to:
Correct Answer: C
Rationale: SR (sustained release) capsules cannot be opened or crushed, as this alters their release mechanism. The pharmacist should be contacted for an alternative formulation.
Extract:
Pulsus Paradoxus is best described as
Question 4 of 5
Pulsus Paradoxus is best described as
Correct Answer: B
Rationale: Pulsus paradoxus is an exaggerated drop in systolic BP during inspiration.
Extract:
Question 5 of 5
An adult who has Bell's palsy says to the nurse, 'Will I always look this weird?' How should the nurse reply?
Correct Answer: B
Rationale: Bell's palsy often resolves completely within weeks to months, so reassuring the client of potential full recovery is accurate and supportive.