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NCLEX Practice Test PN Questions

Extract:


Question 1 of 5

The nurse is caring for a 31-year-old gravida 2, para 1 woman who is in labor. The woman calls the nurse and says, 'My water has broken and I feel something between my legs.' The nurse looks and sees a loop of umbilical cord at the vaginal outlet. After signaling for help, what should the nurse do?

Correct Answer: B

Rationale: Knee-chest position relieves pressure on the prolapsed umbilical cord, maintaining fetal oxygenation until emergency delivery. Replacing the cord or pressing the fundus worsens the situation.

Question 2 of 5

A client is receiving nitroprusside IV for the treatment of acute heart failure with pulmonary edema. What diagnostic lab value should the nurse monitor when a client is receiving this medication?

Correct Answer: D

Rationale: Thiocyanate. Nitroprusside metabolism increases thiocyanate levels, which can lead to cyanide toxicity if elevated.

Extract:

Laboratory results
Glucose (random)

71-200 mg/dL
(3.9–11.1 mmol/L) 58 mg/dL
(3.2 mmol/L)


Question 3 of 5

The nurse is caring for a client with type 2 diabetes mellitus who reports feeling lightheaded and shaky. Which of the following actions should the nurse take next?

Correct Answer: C

Rationale: Lightheadedness and shakiness suggest hypoglycemia. Providing 15 grams of fast-acting carbohydrates, such as 4 oz of fruit juice, is the first-line treatment to raise blood glucose levels quickly.

Extract:


Question 4 of 5

A nurse in the pediatric unit is preparing a 16-year-old for a surgical procedure and observes that the client has signed the informed consent for surgery. What should be the first action by the nurse?

Correct Answer: B

Rationale: Minors typically cannot provide legal consent unless they are emancipated or meet specific legal criteria. The nurse must first determine if the 16-year-old is legally able to sign the consent.

Extract:

Laboratory reference ranges
Glucose (random)
71-200 mg/dL
(3.9–11.1 mmol/L)


Question 5 of 5

The nurse is caring for assigned clients. Which of the following clients should the nurse check first?

Correct Answer: C

Rationale: A blood glucose level of 55 mg/dL indicates severe hypoglycemia, a life-threatening condition requiring immediate intervention to prevent seizures or coma.

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