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
A client comes to the emergency department complaining of headache, malaise, chills, fever, and a stiff neck. Vital sign assessment reveals a temperature elevation, increased heart and respiratory rates, and normal blood pressure. On physical examination, the nurse notes confusion, a petechial rash, nuchal rigidity, Brudzinski's sign, and Kernig's sign. What does Brudzinski's sign indicate?
Correct Answer: D
Rationale: Brudzinski's sign indicates meningeal irritation, as in meningitis. Other signs of meningeal irritation include nuchal rigidity and Kernig's sign. Brudzinski's sign doesn't indicate increased ICP, cerebral edema, or low CSF pressure.
Question 3 of 5
The nurse is caring for a 16-year-old pregnant client who is taking an iron supplement. Which instruction should the nurse include when teaching the adolescent about ferrous sulfate? Select all that apply:
Correct Answer: C,D,E
Rationale: Because food delays absorption, the nurse should instruct the client to take the supplement between meals to increase absorption. The client should take the supplement with juice (preferably orange juice) or water, but not with milk or antacids. The nurse should also tell the client not to crush or chew extended-release forms of the drug.
Extract:
Francis' serum K+ level is 3.8 mEq/L. Potassium chloride 40 mEq has been prescribed to be added to the first liter of IV fluid.
Question 4 of 5
The nurse should
Correct Answer: C
Rationale: Ketoacidosis means high blood glucose. Insulin is expected to be administered to lower the blood glucose level. Insulin transports potassium back to the cell, so potassium IV is usually given prophylactically with insulin.
Extract:
A patient with CAD has a sudden episode of cyanosis & a change in respiration.
Question 5 of 5
The nurse starts O2 administration immediately. In this situation:
Correct Answer: B
Rationale: Cyanosis and respiratory changes justify immediate oxygen administration in CAD patients.