NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse administers subcutaneous insulin lispro at 0730 to a client as prescribed and the client consumes breakfast 30 minutes later. At what time is the client at highest risk for experiencing insulin-related hypoglycemia?
Correct Answer: B
Rationale: Insulin lispro peaks 1-2 hours after administration, so 1100 (
B), about 3.5 hours post-injection, is the highest risk time for hypoglycemia.
Question 2 of 5
The nurse caring for a 2-year-old client should expect the child to be able to perform which of the following actions? Select all that apply.
Correct Answer: C, D, E
Rationale: A 2-year-old can kick a ball (
C), use 2-word phrases (
D), and walk without help (E). Drawing a square (
A) and hopping on one foot (
B) are skills typically developed later.
Question 3 of 5
A client receiving aminophylline IV complains of feeling nervous and shaky. The nurse is aware that these are symptoms of:
Correct Answer: B
Rationale: Aminophylline, a xanthine derivative, can cause CNS stimulation, leading to nervousness and shakiness. It does not typically cause CNS or cardiovascular depression or anticholinergic effects.
Question 4 of 5
When giving an intramuscular injection to an infant. Which of the following sites is preferred?
Correct Answer: C
Rationale: Vastus lateralis is the ideal choice for infants.
Question 5 of 5
An adult client has been medicated for elective surgery. The operating room nurse discovers that the consent form for surgery has not been signed. What should the nurse do?
Correct Answer: B
Rationale: Preoperative medications impair judgment, making consent invalid post-administration. Notifying the physician ensures legal and ethical consent is obtained, delaying surgery if needed.