NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The mother of a 3-year-old is complaining that her son still throws temper tantrums when he doesn't get his way. How should the nurse advise the mother to respond?
Correct Answer: A
Rationale: This child is in Erikson's developmental stage of initiative versus guilt. Guilt develops when the child is made to feel bad about his behavior. Ignoring the negative behavior shows the child that he'll gain nothing through negative behavior such as temper tantrums. Promising the child a new toy or giving in to his demands will reinforce his negative behavior by rewarding his tantrums. Mimicking the child will make him feel guilty.
Question 2 of 5
The Doctor writes for a medication that is in oral suspension. The order reads to administer 50 mg by mouth every 4 hours as needed for pain. You're dispended with a bottle that reads 25 mg/2 mL. How many teaspoons per dose will you administer?
Correct Answer: C
Rationale: 50 mg ÷ 25 mg/2 mL = 4 mL. 4 mL ÷ 5 mL/tsp = 0.8 tsp. Other options are incorrect conversions.
Question 3 of 5
The nurse is preparing to administer a unit of packed red blood cells to a client. Which of the following actions should the nurse perform FIRST?
Correct Answer: A
Rationale: Verifying the client’s identity with another nurse ensures the correct patient receives the transfusion, preventing life-threatening errors. Starting an IV (
B) requires a larger catheter (18–20 gauge), priming (
C) follows verification, and compatibility (
D) is part of verification.
Question 4 of 5
When using restraints for an agitated/aggressive patient, which of the following statements should NOT influence the nurse's actions during this intervention?
Correct Answer: C
Rationale: The need for restraints is based on the patient’s behavior and safety risk, not their voluntary/involuntary status. Institutional policies (
A), competence (B, requiring guardian consent if incompetent), and the care plan (D, ensuring least restrictive measures) all guide restraint use.
Question 5 of 5
Following mitral valve replacement surgery a client develops PVC's. The health care provider orders a bolus of Lidocaine followed by a continuous Lidocaine infusion at a rate of 2 mg/minute. Which finding indicates that the client is experiencing lidocaine toxicity?
Correct Answer: D
Rationale: No measurable voiding in 4 hours. The concern is possible hyperkalemia, which could occur with continued potassium administration and a decrease in urinary output since potassium is excreted via the kidneys.