NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse is talking with a client with a brain tumor who has a new prescription for levetiracetam. Which of the following statements would be appropriate for the nurse to make?
Correct Answer: C
Rationale: Levetiracetam is an anticonvulsant used to prevent seizures, a common complication in brain tumor patients.
Question 2 of 5
The nurse is caring for a newborn shortly after birth. Which of the following findings would be a priority to follow up?
Correct Answer: D
Rationale: A tuft of hair at the spine base may indicate spina bifida occulta, requiring follow-up. Vernix, caput succedaneum, and Mongolian spots are normal newborn findings.
Question 3 of 5
The nurse is caring for clients who are having the following procedures. Which client should be asked about allergies to shellfish?
Correct Answer: C
Rationale: Myelograms often use iodine-based contrast; shellfish allergies may indicate iodine sensitivity, requiring verification. Arthroscopy, arthrocentesis, and EMG do not typically involve contrast.
Extract:
Medication administration record
Allergies: No known allergies
Sliding-Scale Blood Glucose Levels Regular Insulin Dose
<150 mg/dL (<8.3 mmol/L) 0 units
150-199 mg/dL (8.3-11.0 mmol/L) 3 units
200-249 mg/dL (11.1-13.8 mmol/L) 6 units
250-299 mg/dL (13.9-16.6 mmol/L) 9 units
300-349 mg/dL (16.7-19.4 mmol/L) 12 units
>350 mg/dL (>19.4 mmol/L) 15 units and notify the health care provider
Question 4 of 5
A client with type 1 diabetes has a prescription for 20 units of NPH insulin daily at 7:30 AM and regular insulin before meals, based on a sliding scale. At 7:00 AM, the client's blood glucose level is 220 mg/dL (12.2 mmol/L), and the client's breakfast tray has arrived. What action should the nurse take?
Correct Answer: D
Rationale: Regular insulin is drawn up first to prevent NPH contamination, and both can be mixed in one syringe for a blood glucose of 220 mg/dL, assuming a sliding scale of 6 units. Administering after the meal or using separate injections is incorrect.
Extract:
Question 5 of 5
Which of the following are examples of medical battery? Select all that apply.
Correct Answer: C,D
Rationale: Administering morphine deceptively and inserting a catheter against a competent client's refusal constitute medical battery. Restraints and threats, while concerning, are not battery.