NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is assessing the client's vital signs and notes that the client is breathing very noisily. The nurse describes this pattern of breathing as:
Correct Answer: D
Rationale: Stertorous breathing is loud, snoring-like, often due to airway obstruction. Hyperpnea is deep breathing, Cheyne-Stokes is cyclic, and orthopnea is positional dyspnea.
Question 2 of 5
An agitated, confused client arrives in the emergency department. The client's history includes type 1 diabetes, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the nurse teaches the client to treat hypoglycemia by ingesting:
Correct Answer: B
Rationale:
To reverse hypoglycemia, the American Diabetes Association recommends ingesting 10 to 15 g of a simple carbohydrate, such as three to five pieces of hard candy, two to three packets of sugar (4 to 6 tsp), or 4 oz of fruit juice. If necessary, this treatment can be repeated in 15 minutes. Ingesting only 2 to 5 g of a simple carbohydrate may not raise the blood glucose level sufficiently. Ingesting more than 15 g may raise it above normal, causing hyperglycemia.
Question 3 of 5
The RN delegates the task of taking vital signs of all the clients on the medical-surgical unit to an unlicensed assistive personnel (UAP). Specific written and verbal instructions are given to not take a post-mastectomy client's blood pressure on the left arm. Later as the RN is making rounds, the nurse finds the blood pressure cuff on that client's left arm. Which of these statements is most immediately accurate?
Correct Answer: D
Rationale: The UAP is responsible for carrying out the activity correctly once directions have been clearly communicated especially if given verbally and in writing.
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 4 of 5
What is most likely occurring when persistent bubbling exist in the water seal chamber of a chest drainage device?
Correct Answer: D
Rationale: Persistent bubbling indicates an air leak, either in the system or from the lung.
Extract:
Question 5 of 5
While installing electrical wiring in the intensive care unit, the workmen start an electrical fire. The nurse's first action when caring for a ventilator-dependent client should be to:
Correct Answer: C
Rationale: Removing the ventilator-dependent client with an Ambu bag ensures safety from the fire. Extinguishing, notifying, or activating the alarm are secondary.