NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to administer insulin to a client with type 1 diabetes. The client is prescribed 10 units of regular insulin and 20 units of NPH insulin. The nurse should
Correct Answer: A
Rationale: When mixing regular and NPH insulin, draw up regular (clear) insulin first to prevent contamination with NPH (cloudy). Mixing in one syringe (not separate,
C) is standard, and a 1:1 ratio (
D) is incorrect as doses are specific (10:20 units).
Extract:
Twenty-four hours following burn accident, Johnny was given Morphine Sulfate to control his pain.
Question 2 of 5
Which of the following parameters should the nurse utilize to accurately measure the client's response to drug therapy?
Correct Answer: B
Rationale: The pain scale provides an objective measure of pain intensity, assessing morphine's effectiveness.
Extract:
Question 3 of 5
What is the trade name of the following medication? NDC 0074-3163-13 Biaxin Granules Clarithromycin for Oral Suspension, USP 125 mg per 5 mL 100 mL (when mixed) Rx only Abbott
Correct Answer: A
Rationale: The label states 'Biaxin,' the trade name for clarithromycin oral suspension. No other options are provided, and the label confirms the answer.
Question 4 of 5
A hospitalized client asks the nurse for 'something for pain.' Which information is most important for the nurse to gather before administering the medication? Select all that apply:
Correct Answer: A,B,C,D,F
Rationale: The nurse needs to know when the last dose was administered. Some clients request pain medication earlier than is ordered by the physician. Pain, the fifth vital sign, should be assessed using a pain scale and documented in the nursing notes whenever a pain medication is given. Pain is usually reassessed about 30 minutes after the medication is given. Physicians commonly order several different types of pain medication based on the client's condition. The nurse should know which medication and which route was used to administer prior dosages. Evaluating the effectiveness of medications is also an important nursing function when managing the client's pain.
Therefore, she should ask the client if the prior dose was helpful. The nurse should also note whether the client experienced any adverse effects of the medication. Most medications are ordered based on the client's admission weight, not current weight and height. A client's weight may fluctuate when he's in the hospital, so it's unlikely that the nurse will have the most current weight available. Also, taking steps to obtain the client's current weight postpones the pain treatment and can potentially worsen pain.
Question 5 of 5
A child is sent to the school nurse by a teacher who has a written note that fifth disease is suspected. Which characteristic would the nurse expect to find?
Correct Answer: B
Rationale: Erythema on the face, primarily on cheeks giving a 'slapped face' appearance. This is a hallmark of fifth disease (erythema infectiosum).