NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Vital signs
Temperature 95 F (35 C)
Blood pressure 90/50 mm Hg
Heart rate 50/min
Respirations 6/min
SpO2 83%
Question 1 of 5
The nurse is caring for a client with hypothyroidism who has become lethargic and difficult to rouse. Which action is the priority?
Correct Answer: B
Rationale: Lethargy and unresponsiveness in hypothyroidism suggest myxedema coma, requiring immediate airway management with ventilation (
B). Levothyroxine (
A), warming (
C), and lab review (
D) are secondary.
Extract:
Question 2 of 5
The nurse observes an ambulating client begin to experience a tonic-clonic seizure. Which nursing actions should be implemented immediately? Select all that apply.
Correct Answer: A, C, E, F
Rationale: Guiding to the floor (
A), clearing objects (
C), positioning laterally (E), and observing (F) ensure safety.
Tongue blades (
B) are dangerous, and restraining (
D) increases injury risk.
Question 3 of 5
An adult is admitted with nausea, vomiting, and diarrhea. The client is receiving an IV of dextrose 5% in water with 40 mEq of KCl. The nurse knows the potassium is added to do which of the following?
Correct Answer: A
Rationale: Vomiting and diarrhea cause significant potassium loss, requiring IV potassium replacement to prevent hypokalemia.
Question 4 of 5
The nurse is providing care to a client with posttraumatic stress disorder following a terrorist attack at the client's place of worship. The client says, 'I'm just so worried all the time. I will never be safe again!' What is the priority nursing action?
Correct Answer: A
Rationale: Acknowledging feelings (
A) builds trust and validates the client's experience, making it the priority. Assessing support (
B), discussing trauma (
C), or offering medication (
D) are secondary.
Question 5 of 5
The nurse reviews the ECG of a client. Which prescribed medication should the nurse suspect as the cause of the ECG findings?
Correct Answer: D
Rationale: Levothyroxine (
D) can cause arrhythmias, which may be reflected in ECG changes. Captopril (
A), Carvedilol (
B), and Glipizide (
C) are less likely to cause significant ECG alterations.