NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse is preparing to administer a unit of packed red blood cells to a client. Which of the following actions should the nurse perform FIRST?
Correct Answer: A
Rationale: Verifying the client’s identity with another nurse ensures the correct patient receives the transfusion, preventing life-threatening errors. Starting an IV (
B) requires a larger catheter (18–20 gauge), priming (
C) follows verification, and compatibility (
D) is part of verification.
Question 2 of 5
A woman is admitted to the labor and delivery unit in a sickle cell crisis. Which of the following nursing actions is the HIGHEST priority?
Correct Answer: C
Rationale: Adequate hydration is the highest priority in sickle cell crisis to reduce blood viscosity, promote circulation, and prevent further sickling of red blood cells, which can exacerbate vaso-occlusive complications. Oxygen (
A) is secondary unless hypoxia is present, positioning (
B) is less critical, and antibiotics (
D) are not indicated without infection.
Extract:
Mr. Lou, 65 years old, with liver cirrhosis was ordered neomycin enema
Question 3 of 5
Mr. Lou, 65 years old, with liver cirrhosis was ordered neomycin enema for which of the following goals?
Correct Answer: B
Rationale: Neomycin enemas reduce ammonia-producing bacteria, improving consciousness in hepatic encephalopathy.
Extract:
A 78-year-old client is admitted for open reduction of a wrist fracture. That night she is found wandering in the hallway near the fire alarm. When the nurse calls the client's name, the client says, 'If you come any closer to me I'll pull this fire alarm. You're a drug addict. I saw you taking drugs out of the cabinet.'
Question 4 of 5
The best response by the nurse would be:
Correct Answer: A
Rationale: This response addresses safety calmly without escalating the situation.
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.