NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
A 6-year-old boy with HIV and fever is being admitted to the unit.
Question 1 of 5
The nurse making the room assignment would place the child in a room with:
Correct Answer: A
Rationale: The post-appendectomy patient is the least likely to pose an infectious risk to the immunocompromised child.
Extract:
Question 2 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 3 of 5
An adult who is receiving cancer chemotherapy asks the nurse if her fatigue has anything to do with the chemotherapy. What should the nurse include when responding to this client?
Correct Answer: D
Rationale: Chemotherapy often causes anemia by reducing red blood cells, leading to fatigue, a common side effect.
Extract:
The nurse recognizes that a pacemaker is indicated when a patient is experiencing:
Question 4 of 5
The nurse recognizes that a pacemaker is indicated when a patient is experiencing:
Correct Answer: C
Rationale: Heart block disrupts normal conduction, often requiring a pacemaker to maintain rhythm.
Extract:
Question 5 of 5
What significant event occurs in the orientation phase of a nurse-client relationship?
Correct Answer: B
Rationale: Identifying transference phenomena, where clients project feelings onto the nurse, is key in the orientation phase to establish a therapeutic relationship. The other events are less specific to this phase. Psychosocial Integrity