NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse on the psychiatric unit is caring for several clients. Which client needs the most immediate attention?
Correct Answer: C
Rationale: Screaming and running indicate potential danger to self or others, requiring immediate intervention to ensure safety.
Question 2 of 5
A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. Which of the following oxygen delivery devices is most appropriate for this patient?
Correct Answer: C
Rationale: The Venturi mask delivers precise oxygen concentrations, critical for COPD patients to avoid CO2 retention. Nasal cannulas are less precise, and non-rebreather or simple masks deliver high oxygen inappropriately.
Question 3 of 5
An agitated, confused client arrives in the emergency department. The client's history includes type 1 diabetes, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the nurse teaches the client to treat hypoglycemia by ingesting:
Correct Answer: B
Rationale:
To reverse hypoglycemia, the American Diabetes Association recommends ingesting 10 to 15 g of a simple carbohydrate, such as three to five pieces of hard candy, two to three packets of sugar (4 to 6 tsp), or 4 oz of fruit juice. If necessary, this treatment can be repeated in 15 minutes. Ingesting only 2 to 5 g of a simple carbohydrate may not raise the blood glucose level sufficiently. Ingesting more than 15 g may raise it above normal, causing hyperglycemia.
Question 4 of 5
Clients with mitral stenosis would likely manifest findings associated with congestion in the
Correct Answer: A
Rationale: Pulmonary circulation. Inefficient emptying of the left ventricle causes back-flow into the pulmonary vein, leading to congestion.
Extract:
A mother with cystic fibrosis child is receiving health teaching from the nurse regarding danger signs of her illness.
Question 5 of 5
The mother has best understood the teaching when she says:
Correct Answer: C
Rationale: Respiratory distress, indicated by tiredness, is a critical danger sign in cystic fibrosis.