NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of heart failure who is receiving furosemide (Lasix). Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, can cause hypokalemia, increasing the risk of arrhythmias in heart failure patients, so serum potassium must be monitored closely. Glucose (
B), cholesterol (
C), and hemoglobin (
D) are not directly affected by furosemide.
Question 2 of 5
During morning rounds, the nurse notices blood spots on the pillowcase of a child with acute lymphoid leukemia. The nurse should be most concerned about the client's:
Correct Answer: C
Rationale: Blood spots suggest bleeding, likely due to low platelets (thrombocytopenia) in acute lymphoid leukemia, so C is correct. Red blood cell count , white blood cell count , and reticulocyte count are less directly related to bleeding.
Question 3 of 5
A client diagnosed with an ulcer has been placed on tetracycline due to a positive helicobacter pyloric test result. Which food choice, when taken with the drug, could decrease its effectiveness?
Correct Answer: B
Rationale: Milk and dairy products can reduce the effectiveness of the drug when taken at the same time. Answers A, C, and D would not affect the drug, so they're incorrect.
Extract:
A 28-year-old male with history of diabetes has been found wandering around in a confused pattern. The male is sweaty and pale.
Question 4 of 5
Which of the following tests is most likely to be performed first?
Correct Answer: A
Rationale: Confusion, sweating, and pallor in a diabetic suggest hypoglycemia, requiring immediate blood sugar testing.
Extract:
Question 5 of 5
An adult is admitted for a neurological workup and is scheduled for a spinal tap. When preparing the client for the procedure, the nurse should position the client in which position?
Correct Answer: B
Rationale: The lateral position with knees to chest maximizes spinal flexion, opening vertebral spaces for safe lumbar puncture needle insertion.