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).
Question 2 of 5
A 7-year-old boy is in the hospital with Reye's syndrome. He has been ill for two weeks with the flu. He ran high fevers and was treated with four baby aspirin alternating with 325-mg chewable Tylenol and sponge baths to control the fever. He also had a rash on his body that was itchy, and his mother used lotion and Benadryl to control the itching. Besides history of the flu, which factor in his history is associated with development of Reye's syndrome?
Correct Answer: C
Rationale: Aspirin use in children with viral infections, like the flu, is strongly linked to Reye's syndrome, a rare but serious condition affecting the liver and brain.
Question 3 of 5
When teaching a client with coronary artery disease about nutrition, the nurse should emphasize
Correct Answer: C
Rationale: avoiding very heavy meals. Eating large, heavy meals can pull blood away from the heart for digestion, which is dangerous for the client with coronary artery disease.
Extract:
The physician orders a paracentesis for a patient with ascites.
Question 4 of 5
Before the procedure, the nurse should instruct the patient to:
Correct Answer: A
Rationale: Emptying the bladder prevents injury during paracentesis needle insertion.
Extract:
Question 5 of 5
The mother of a 2-year-old child tells the nurse she is embarrassed when her child plays with other children because he does not share his toys or even interact with the other children. The nurse's response to the mother is based on the knowledge that a 2-year-old usually engages in which type of play?
Correct Answer: B
Rationale: At 2 years, children typically engage in parallel play, playing alongside but not interactively with others, a normal developmental stage that does not involve sharing.