NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a serum potassium level of 3.5 mEq/L. The client is placed on a cardiac monitor and receives 40 mEq KCL in 1000 ml of 5% dextrose in water IV. Which of the following EKG patterns indicates to the nurse that the infusions should be discontinued?
Correct Answer: C
Rationale: A tall peaked T wave is a sign of hyperkalemia. The provider should be notified regarding discontinuing the medication.
Extract:
A 14-year-old patient with a diagnosis of gonorrhea requested you not to tell her parents about the disease.
Question 2 of 5
How will you respond?
Correct Answer: B
Rationale: Confidentiality is maintained for minors in sensitive diagnoses like STIs, unless there's a legal requirement to disclose.
Extract:
Question 3 of 5
The mother of a 3-year-old is complaining that her son still throws temper tantrums when he doesn't get his way. How should the nurse advise the mother to respond?
Correct Answer: A
Rationale: This child is in Erikson's developmental stage of initiative versus guilt. Guilt develops when the child is made to feel bad about his behavior. Ignoring the negative behavior shows the child that he'll gain nothing through negative behavior such as temper tantrums. Promising the child a new toy or giving in to his demands will reinforce his negative behavior by rewarding his tantrums. Mimicking the child will make him feel guilty.
Extract:
Post thoracentesis, the patient complains of blood-tinged sputum.
Question 4 of 5
Which of the following would the PN performs first?
Correct Answer: B
Rationale: Blood-tinged sputum may indicate a pneumothorax, so auscultating for breath sounds is the priority to assess lung status.
Extract:
Question 5 of 5
A 14-month-old is receiving Digoxin (Lanoxin) and Lasix (Furosemide) twice a day. In planning his care, the nurse should assess for which complication?
Correct Answer: A
Rationale: Furosemide is a loop diuretic that can cause hypokalemia, which is dangerous in clients taking digoxin, as it increases digoxin toxicity risk.