NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The licensed practical nurse is preparing to administer an injection of vitamin K to a newborn. The nurse should administer the injection in the:
Correct Answer: B
Rationale: The vastus lateralis is the preferred site for newborn IM injections due to its large muscle mass and safety. Other sites are less developed or risk nerve damage.
Question 2 of 5
A client was admitted with a diagnosis of pneumonia. When auscultating the client's breath sounds, the nurse hears inspiratory crackles in the right base. Temperature is 102.3 degrees Fahrenheit orally. What other finding would the nurse expect?
Correct Answer: C
Rationale: Mental confusion. Crackles suggest pneumonia, which is likely to be accompanied by mental confusion related to hypoxia.
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 3 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:
The child with a diagnosis of laryngotracheobronchtis
Question 4 of 5
The child with a diagnosis of laryngotracheobronchtis should be observed for:
Correct Answer: B
Rationale: Laryngotracheobronchitis (croup) is characterized by inspiratory stridor and potential lethargy due to airway obstruction.
Extract:
Which of the following data reflects that fluid resuscitation on B.C was effective?
Question 5 of 5
Urine output of 300 cc/24H; increased BUN, increased Na+ level.
Correct Answer: C
Rationale: Urine output of 30 cc/hour, decreased BUN, and decreased Na+ level reflect kidney perfusion, indicating effective fluid resuscitation.