NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD) who is receiving oxygen therapy. Which of the following flow rates is MOST appropriate?
Correct Answer: A
Rationale: Low-flow oxygen (1–2 L/min via nasal cannula) is appropriate for COPD to maintain oxygenation without suppressing the hypoxic drive. Higher flows (B, C,
D) risk CO2 retention in COPD patients.
Question 2 of 5
The home health care nurse is caring for a 30-year-old woman with type I diabetes mellitus. The client has been maintained on a regimen of NPH and regular insulin and a 1,800-calorie diabetic diet with normal blood sugar levels. Morning self-monitoring blood sugar (SMBG) readings the past two days were 205 mg/dL and 233 mg/dL. The nurse expects the physician to
Correct Answer: B
Rationale: Elevated morning blood sugar levels (205 and 233 mg/dL) suggest the dawn phenomenon, where early morning hyperglycemia occurs due to hormonal changes. Adjusting the evening NPH insulin dose (e.g., adding 3 units at 10 PM) helps control this. Reducing the diet (
A) is unnecessary, regular insulin (
C) peaks too early, and eliminating the snack (
D) may worsen control.
Question 3 of 5
A nurse is providing care for an elderly patient with dementia. Which of the following interventions is most appropriate?
Correct Answer: B
Rationale: A structured routine reduces confusion and anxiety in dementia, promoting safety and comfort. Complex decisions overwhelm, social interactions are beneficial, and physical activity supports health.
Extract:
The PN may appropriately delegate which of the following to the nursing assistant?
Question 4 of 5
Take the patient's vital signs before starting a blood transfusion.
Correct Answer: A
Rationale: Taking vital signs is within the nursing assistant's scope, unlike central line care, suctioning, or assessing chest pain.
Extract:
The first compensatory mechanism for lost blood volume in children are
Question 5 of 5
The first compensatory mechanism for lost blood volume in children are
Correct Answer: C
Rationale: Tachycardia and vasoconstriction compensate for blood loss to maintain perfusion.