NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to administer IV furosemide to a client with chronic kidney disease. The nurse should administer the medication slowly to prevent
Correct Answer: B
Rationale: Rapid IV furosemide can cause ototoxicity (
B) in CKD patients due to drug accumulation. Oliguria (
A) is already present, and furosemide does not typically cause bradycardia (
C) or hypertension (
D).
Question 2 of 5
The nurse is observing a nursing assistant move a client from bed to chair. Which action by the nursing assistant indicates a lack of understanding about transfer techniques?
Correct Answer: A
Rationale: Bending from the waist risks back injury, indicating improper technique. Wide stance, whole-body turning, and seeking help are correct.
Question 3 of 5
A 2-year-old who swallowed an overdose of adult cough syrup is being discharged from the emergency department. The parent says to the nurse, 'From now on, I'm going to store all medicines in my top dresser drawer.' Which is the best response by the nurse?
Correct Answer: A
Rationale: A locked drawer (
A) ensures safety. Childproof caps (
B) are helpful but insufficient alone. The plan (
C) is unsafe without a lock, and constant supervision (
D) is unrealistic.
Extract:
Vital signs
Blood pressure 105/60 mm Hg
Heart rate 80/min
Respirations 22/min
SpO2 90% on room air
Nurse notes
The client has a history of coronary artery disease and peripheral vascular disease. Nursing assessment reveals crackles in middle & lower lung fields, moderate jugular venous distension, and 3+ pedal edema.
Medications
Enoxaparin: 30 mg subcutaneous once daily
Metoprolol: 50 mg PO twice a day
Furosemide: 40 mg PO twice daily
Atorvastatin: 20 mg PO once daily
Question 4 of 5
The nurse is preparing to administer medications to a client with acute decompensated heart failure. Which of the following medications should the nurse hold for clarification prior to administering?
Correct Answer: D
Rationale: Metoprolol (
D) may worsen acute decompensated heart failure by reducing cardiac output, requiring clarification. Furosemide (
C) treats fluid overload, enoxaparin (
B) prevents thrombosis, and atorvastatin (
A) manages lipids.
Extract:
Question 5 of 5
The nurse is reinforcing teaching to the parents of a hospitalized 3-month-old about separation anxiety. The nurse notices that the parents still seem concerned about leaving the infant while they work. Which statement by one of the parents indicates that the teaching has been effective?
Correct Answer: C
Rationale: Infants at 3 months (
C) do not yet exhibit separation anxiety and cannot sense parental anxiety. Crying (
A), feeling abandoned (
B), and understanding return (
D) occur later in development.