NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The morning staff of an inpatient psychiatric unit has just completed the change of shift report. The nurse should give priority to assessing the client:
Correct Answer: C
Rationale: A lithium level of 1.8 mEq/L is above the therapeutic range (0.6-1.2 mEq/L) and indicates potential toxicity, requiring immediate assessment. Answer A is important but less urgent unless the hallucinations are commanding harm. Answer B is incorrect as the client is only scheduled for therapy, not in immediate danger. Answer D is within normal WBC range and less critical.
Extract:
Mary Jane is 7-year-old girl who was admitted with asthma exacerbation. Admission vital signs include a HR of 120 bpm, RR 34, breathing was wheezy on auscultation, Temp 99.5°F.
Question 2 of 5
Based on the admission assessment, the nurse will expect which drug will be ordered on the patient ASAP?
Correct Answer: B
Rationale: Ventolin (albuterol) is a bronchodilator, the first-line treatment for asthma exacerbation.
Extract:
Question 3 of 5
The licensed practical nurse is making assignments for the nursing assistant. Which client should be assigned to the nursing assistant?
Correct Answer: B
Rationale: A client with total knee repair is stable and suitable for a nursing assistant's care (e.g., basic mobility, hygiene). Alzheimer's , laparotomy , and diverticulitis require more complex nursing assessments.
Question 4 of 5
The nurse is preparing to administer digoxin (Lanoxin) 0.25 mg IV to a client with congestive heart failure. Before administering the medication, the nurse should
Correct Answer: A
Rationale: Digoxin can cause bradycardia, so checking the apical pulse (holding if <60 bpm) is critical to prevent toxicity. Verifying the dose (
B) is good practice but secondary, administering over 5 minutes (
C) is correct but not pre-administration, and digoxin levels (
D) are checked periodically, not before each dose.
Extract:
A 24-year-old female is admitted to the ER for confusion. This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria.
Question 5 of 5
Which of the following would you most likely suspect?
Correct Answer: B
Rationale: Myeloma can cause hypercalcemia, leading to confusion, constipation, pain, and polyuria.