NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The home health care nurse is caring for a 30-year-old woman with type I diabetes mellitus. The client has been maintained on a regimen of NPH and regular insulin and a 1,800-calorie diabetic diet with normal blood sugar levels. Morning self-monitoring blood sugar (SMBG) readings the past two days were 205 mg/dL and 233 mg/dL. The nurse expects the physician to
Correct Answer: B
Rationale: Elevated morning blood sugar levels (205 and 233 mg/dL) suggest the dawn phenomenon, where early morning hyperglycemia occurs due to hormonal changes. Adjusting the evening NPH insulin dose (e.g., adding 3 units at 10 PM) helps control this. Reducing the diet (
A) is unnecessary, regular insulin (
C) peaks too early, and eliminating the snack (
D) may worsen control.
Question 2 of 5
The nurse is teaching a client with a new diagnosis of glaucoma about the condition. Which of the following statements by the client indicates understanding?
Correct Answer: B
Rationale: Glaucoma involves increased intraocular pressure, and adherence to prescribed eye drops (e.g., timolol) is critical to prevent optic nerve damage. Dim light (
A) is unrelated, stopping medication (
C) is dangerous, and glaucoma results from reduced fluid drainage (not excess,
D).
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 3 of 5
Negative pressure in the pleural space is indicated by
Correct Answer: B
Rationale: Negative pressure in the water-seal chamber maintains lung expansion.
Extract:
Question 4 of 5
The nurse is preparing to administer a medication via a nasogastric tube. Which of the following actions should the nurse perform FIRST?
Correct Answer: B
Rationale: Checking NG tube placement (e.g., via pH testing of aspirate) ensures the medication is delivered to the stomach, preventing aspiration. Crushing medication (
A) and flushing (
C) follow placement confirmation, and supine positioning (
D) increases aspiration risk.
Question 5 of 5
Nurses caring for clients who have cancer and are taking opioids need to assess for all of the following except:
Correct Answer: D
Rationale: Addiction is not a primary concern in terminally ill clients receiving opioids for pain management.
Tolerance, constipation, and sedation are common side effects requiring assessment. Basic Care and Comfort