NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is experiencing hypotension and respiratory depression after administration of IV midazolam. The nurse should anticipate that the client will receive
Correct Answer: D
Rationale: Midazolam, a benzodiazepine, can cause respiratory depression and hypotension in overdose. Flumazenil (
D) is the specific antidote, reversing benzodiazepine effects. Acetylcysteine (
A) treats acetaminophen overdose, benztropine (
B) manages extrapyramidal symptoms, and phentolamine (
C) treats hypertensive crises, none of which apply here.
Question 2 of 5
Which statements involve acceptable use of an abbreviation, symbol, or dose designation in documentation? Select all that apply.
Correct Answer: A
Rationale: Metric units (
A), decimal doses (
C), and QID (E) are clear and acceptable. 'u' (
B) risks confusion with '0,' and 'pc' with 'c/o' (
D) are ambiguous, per safety standards.
Question 3 of 5
A client returns from the operating room after a right orchiectomy. For the immediate post-operative period the nursing priority would be to
Correct Answer: B
Rationale: Due to the location of the incision, pain management is the priority. Bladder spasms are more related to prostate surgery.
Question 4 of 5
The nurse caring for a client with anemia recognizes which clinical manifestation as one specific for a hemolytic type of anemia?
Correct Answer: A
Rationale: The destruction of red blood cells causes the release of bilirubin, leading to the yellow hue of the skin. Answers C and D occur with anemia but are not specific to hemolytic. Answer B does not relate.
Question 5 of 5
Which situations require that the nurse report to an appropriate authority? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Gonorrhea (
B) and syphilis (E) are reportable diseases, regardless of HIPAA. Suspected abuse in a teenager (
C) or elderly client (
D) mandates reporting, despite provider or client denial. Cupping (
A) is a cultural practice, not abuse.