NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse is preparing the room of a client returning from a subtotal thyroidectomy. Which item should be placed at the bedside of a client with a subtotal thyroidectomy?
Correct Answer: B
Rationale: A tracheostomy set is essential post-thyroidectomy due to the risk of airway obstruction from swelling or hematoma. Other equipment is less immediately relevant.
Question 2 of 5
The wife of a man who is diagnosed with angina pectoris asks the nurse how she would know if her husband had a heart attack rather than angina. What should the nurse include in the reply?
Correct Answer: A
Rationale: Myocardial infarction causes severe chest pain unresponsive to nitroglycerin, unlike angina, which typically resolves. Epigastric pain, arm radiation, or activity triggers are less definitive.
Question 3 of 5
A home health nurse visits a client with Alzheimer disease. The caregiver appears frustrated and reports that the client has been persistently restless and agitated. Which nursing action is the priority at this time?
Correct Answer: B
Rationale: Assessing for environmental triggers like noise is the priority, as it may contribute to agitation in Alzheimer's. Other actions are secondary.
Extract:
Medication administration record
Allergies: No known allergies
Sliding-Scale Blood Glucose Levels Regular Insulin Dose
<150 mg/dL (<8.3 mmol/L) 0 units
150-199 mg/dL (8.3-11.0 mmol/L) 3 units
200-249 mg/dL (11.1-13.8 mmol/L) 6 units
250-299 mg/dL (13.9-16.6 mmol/L) 9 units
300-349 mg/dL (16.7-19.4 mmol/L) 12 units
>350 mg/dL (>19.4 mmol/L) 15 units and notify the health care provider
Question 4 of 5
A client with type 1 diabetes has a prescription for 20 units of NPH insulin daily at 7:30 AM and regular insulin before meals, based on a sliding scale. At 7:00 AM, the client's blood glucose level is 220 mg/dL (12.2 mmol/L), and the client's breakfast tray has arrived. What action should the nurse take?
Correct Answer: D
Rationale: Regular insulin is drawn up first to prevent NPH contamination, and both can be mixed in one syringe for a blood glucose of 220 mg/dL, assuming a sliding scale of 6 units. Administering after the meal or using separate injections is incorrect.
Extract:
Question 5 of 5
A client with atrial fibrillation is being discharged home after being stabilized with medications, including digoxin. Which client statement regarding digoxin toxicity indicates that reinforcement of the discharge education is needed?
Correct Answer: D
Rationale: Increasing potassium intake is incorrect and risky with digoxin, as it can affect drug levels. Other statements reflect correct understanding.