NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Laboratory reference ranges
Glucose (random) – newborn < 24 hours old
40-60 mg/dL
(2.2-3.3 mmol/L)
Question 1 of 5
The nurse is monitoring a neonate 1 hour after spontaneous vaginal delivery. Which of the following are expected findings? Select all that apply.
Correct Answer: A, B, E
Rationale: Respirations of 56 (
A), glucose of 60 mg/dL (
B), and white papules (milia) (E) are normal in neonates. A holosystolic murmur (
C) and single transverse crease (
D) suggest congenital abnormalities.
Extract:
Question 2 of 5
The nurse is caring for a client who is experiencing an acute exacerbation of asthma. Which of the following medications should the nurse administer to the client? Select all that apply.
Correct Answer: A, C
Rationale: Albuterol (
A) and ipratropium (
C) are bronchodilators used in acute asthma exacerbations. Ibuprofen (
B), tobramycin (
D), and montelukast (E) are not indicated for acute management.
Question 3 of 5
The nurse is teaching a newly diagnosed asthma client on how to use a peak flow meter. The nurse explains that this should be used to
Correct Answer: B
Rationale: The peak flow meter is used to measure peak expiratory flow volume. It provides useful information about the presence and/or severity of airway obstruction.
Question 4 of 5
The nurse is caring for a post-surgical client at risk for developing deep vein thrombosis. Which intervention is an effective preventive measure?
Correct Answer: C
Rationale: Encourage range of motion and ambulation. Mobility reduces the risk of deep vein thrombosis in the post-surgical client and the adult at risk due to other factors.
Question 5 of 5
The nurse is caring for a 3-month-old infant who has bacterial meningitis. Which of the following clinical findings support this diagnosis? Select all that apply.
Correct Answer: B, C, E
Rationale: High-pitched cry (
B), poor feeding (
C), and vomiting (E) are signs of bacterial meningitis in infants. A depressed fontanelle (
A) suggests dehydration, not meningitis, and Babinski sign (
D) is normal in infants.