NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse is administering terbutaline (Brethine) to a client in labor. Prior to administration of the medication, the nurse assesses the client's pulse to be 144. The nurse's priority action should be to
Correct Answer: A
Rationale: Terbutaline, a tocolytic, can cause maternal tachycardia. A pulse of 144 indicates significant tachycardia, a side effect requiring the medication to be withheld to prevent further cardiovascular strain. Decreasing the dose (
B) is not within nursing scope, administering (
C) ignores the risk, and waiting (
D) delays intervention.
Question 2 of 5
A newborn is to receive phototherapy for hyperbilirubinemia. Which nursing action is essential?
Correct Answer: D
Rationale: Covering the eyes protects the newborn's retinas from phototherapy light, a critical safety measure.
Extract:
The nurse doing a newborn assessment counts the infant's cord vessel.
Question 3 of 5
In a normal infant there are:
Correct Answer: C
Rationale: There are three vessels: one vein (carries oxygenated blood to the fetus) and two arteries (return deoxygenated blood to the placenta) in a normal umbilical cord.
Extract:
A mother indicates correct understanding of postpartum discharge instructions when starting that she will take her iron supplements with:
Question 4 of 5
A mother indicates correct understanding of postpartum discharge instructions when starting that she will take her iron supplements with:
Correct Answer: D
Rationale: Orange juice enhances iron absorption due to its vitamin C content.
Extract:
Homonymous hemianopsia:
Question 5 of 5
Homonymous hemianopsia:
Correct Answer: A
Rationale: Homonymous hemianopsia involves loss of half the visual field in both eyes, same side.