NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse planning care for a 12 year-old child with sickle cell disease in a vaso-occlusive crisis of the elbow should include which one of the following as a priority?
Correct Answer: B
Rationale: Management of a sickle cell crisis is directed towards supportive and symptomatic treatment. The priority of care is pain relief. In a 12 year-old child, client controlled analgesia promotes maximum comfort.
Extract:
Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia. She develops a neutropenia from the chemotherapy.
Question 2 of 5
Neutropenia means
Correct Answer: A
Rationale: Neutropenia involves low neutrophils, often with low WBC, platelets, and RBC in leukemia.
Extract:
Question 3 of 5
A patient is prescribed 1,000 mL of IV fluid to be infused over 8 hours. The IV tubing has a drop factor of 15 drops per mL. What is the flow rate in drops per minute?
Correct Answer: C
Rationale: 1,000 mL ÷ 8 hours = 125 mL/h. (125 mL/h ÷ 60 min) × 15 gtt/mL = 31.25 gtt/min, rounded to 31 gtt/min. Other options are incorrect.
Question 4 of 5
The nurse is working in a high risk antepartum clinic. A 40 year-old woman in the first trimester gives a thorough health history. Which information should receive priority attention by the nurse?
Correct Answer: D
Rationale: Over-the-counter drugs are a possible danger in early pregnancy. A report by the client that she has taken medications should be followed up immediately.
Question 5 of 5
The community health nurse has been caring for an adolescent with a history of morbid obesity, asthma, and hypertension, and is 22 weeks pregnant. Which of these lab reports need to be called to the teen’s provider within the next hour?
Correct Answer: B
Rationale: Magnesium 0.8 mEq/L and creatinine 3 mg/dl. The magnesium is low and the creatinine is high which indicates renal failure. With the history of hypertension, the findings exhibit the risk of preeclampsia. The client’s lab values are all abnormal except for the platelets. The client needs to be referred for immediate follow up with a provider.