NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is assessing a newborn infant and observes low set ears, short palpebral fissures, flat nasal bridge and indistinct philtrum. A priority maternal assessment by the nurse should be to ask about
Correct Answer: A
Rationale: Alcohol use during pregnancy. This cluster of facial characteristics is often linked to fetal alcohol syndrome (FAS), which can cause lifelong developmental delays.
Question 2 of 5
A client with polysubstance abuse has been admitted to the hospital for detoxification. Which of the following drugs represents the most serious life-threatening situation during the withdrawal period?
Correct Answer: B
Rationale: Secobarbital, a barbiturate, poses the most serious risk during withdrawal, as it can lead to life-threatening seizures and delirium. Methadone and heroin withdrawal are uncomfortable but less likely to be fatal, and cocaine withdrawal is primarily psychological.
Question 3 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 patient was placed on a low sodium diet. The family asks if they can bring some snacks from home.
Question 4 of 5
The nurse suggests that they bring foods low in sodium such as:
Correct Answer: C
Rationale: Fresh oranges are naturally low in sodium, suitable for a low-sodium diet.
Extract:
A patient with cystic fibrosis has an order of aerosol treatment and physiotherapy.
Question 5 of 5
How will you carry out this order?
Correct Answer: B
Rationale: Aerosol treatment loosens secretions, followed by physiotherapy to clear them.