NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is talking with a client. The client abruptly says to the nurse, 'The moon is full. Astronauts walk on the moon. Walking is a good health habit.' The client's remarks most likely indicate
Correct Answer: C
Rationale: Loose associations. The client's statements are loosely connected by related words, indicating disorganized thought.
Question 2 of 5
A nurse is caring for a patient who is receiving chemotherapy. Which of the following medications should the nurse anticipate administering to prevent nausea and vomiting?
Correct Answer: A
Rationale: Ondansetron, a 5-HT3 antagonist, is the first-line antiemetic for chemotherapy-induced nausea, effectively blocking serotonin receptors. Other medications are less specific or used adjunctively.
Question 3 of 5
The nurse is caring for a client with a myocardial infarction. Which finding requires the nurse's immediate action?
Correct Answer: B
Rationale: Dizzy spells. Cardiac dysrhythmias may cause a transient drop in cardiac output and decreased blood flow to the brain. Near syncope refers to lightheadedness, dizziness, temporary confusion. Such 'spells' may indicate runs of ventricular tachycardia or periods of asystole and should be reported immediately.
Extract:
After the patient has refused the medication, the next step taken by the nurse will be:
Question 4 of 5
Document the patient's refusal.
Correct Answer: B
Rationale: Exploring the reason for refusal helps address concerns and promote adherence.
Extract:
Question 5 of 5
A client received six units of regular insulin three hours ago. The nurse would be MOST concerned if which of the following was observed?
Correct Answer: C
Rationale: Regular insulin peaks in 2–4 hours, and the symptoms in choice C (diaphoresis and trembling) are classic signs of hypoglycemia, a potential complication at this time. Hypoglycemia requires immediate intervention, such as administering skim milk or glucose.
Choice A indicates hyperglycemia (Kussmaul respirations), and choices B and D are not specific to hypoglycemia.