NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is preparing to administer digoxin (Lanoxin) 0.25 mg IV to a client with congestive heart failure. Before administering the medication, the nurse should
Correct Answer: A
Rationale: Digoxin can cause bradycardia, so checking the apical pulse (holding if <60 bpm) is critical to prevent toxicity. Verifying the dose (
B) is good practice but secondary, administering over 5 minutes (
C) is correct but not pre-administration, and digoxin levels (
D) are checked periodically, not before each dose.
Question 2 of 5
A nurse is preparing to administer 250 mg of acetaminophen PO to a child. The medication is available as 160 mg/5 mL. How many mL should the nurse administer?
Correct Answer: B
Rationale: 250 mg ÷ 160 mg/5 mL = 7.8125 mL, rounded to 7.8 mL. Other options are incorrect.
Extract:
Six hours following bilateral hip replacement, an 80-year-old woman, transferred in from the Recovery Room to the Surgical Unit was observed to be confused and lethargic; VS are BP 82/56; HR 120; RR 28; skin cool and clammy; no c/o SOB; lungs sounds clear; u/o 20 ml/hour; T 36.5°C; WBC 9000.
Question 3 of 5
Based on this information, what condition appears to be developing?
Correct Answer: D
Rationale: Low blood pressure, tachycardia, and low urine output suggest hypovolemic shock, likely from postoperative bleeding.
Extract:
Question 4 of 5
Which of the following dietary choices should be avoided by a client with a recent bone marrow transplant?
Correct Answer: D
Rationale: Raw apples may harbor bacteria, posing an infection risk for immunocompromised clients post-bone marrow transplant.
Extract:
Following a head injury a patient develops a deficiency in anti diuretic hormone (ADH).
Question 5 of 5
Normally secretion of ADH
Correct Answer: A
Rationale: Reabsorption of sodium and water in the tubules decreases urinary output and retains body fluids, preventing diuresis.