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NCLEX Practice Questions PN Questions

Extract:


Question 1 of 5

The nurse reinforces teaching about methotrexate to a client with rheumatoid arthritis. It is most important to address which topic regarding this drug?

Correct Answer: C

Rationale: Methotrexate suppresses the immune system, significantly increasing the risk for infection (
C). This is a critical teaching point to ensure the client takes precautions. Eye exams (
A), sunblock (
B), and kidney injury (
D) are less directly associated with methotrexate's primary risks.

Question 2 of 5

An adult is admitted with nausea, vomiting, and diarrhea. The client is receiving an IV of dextrose 5% in water with 40 mEq of KCl. The nurse knows the potassium is added to do which of the following?

Correct Answer: A

Rationale: Vomiting and diarrhea cause significant potassium loss, requiring IV potassium replacement to prevent hypokalemia.

Extract:

Vital signs
Temperature 95 F (35 C)
Blood pressure 90/50 mm Hg
Heart rate 50/min
Respirations 6/min
SpO2 83%


Question 3 of 5

The nurse is caring for a client with hypothyroidism who has become lethargic and difficult to rouse. Which action is the priority?

Correct Answer: B

Rationale: Lethargy and unresponsiveness in hypothyroidism suggest myxedema coma, requiring immediate airway management with ventilation (
B). Levothyroxine (
A), warming (
C), and lab review (
D) are secondary.

Extract:


Question 4 of 5

The nurse observes an ambulating client begin to experience a tonic-clonic seizure. Which nursing actions should be implemented immediately? Select all that apply.

Correct Answer: A, C, E, F

Rationale: Guiding to the floor (
A), clearing objects (
C), positioning laterally (E), and observing (F) ensure safety.
Tongue blades (
B) are dangerous, and restraining (
D) increases injury risk.

Extract:

Laboratory reference ranges
Glucose (fasting)
Infant – Within 24 hours after birth
≥40 mg/dL (2.2 mmol/L)


Question 5 of 5

The nurse is caring for assigned newborns. Which of the following newborns should the nurse check first?

Correct Answer: D

Rationale: A glucose level of 38 mg/dL with jitteriness (
D) indicates hypoglycemia, a critical condition requiring immediate intervention. Crackles (
A), asymmetric Moro reflex (
B), and respiratory rate of 52 (
C) are less urgent.

Similar Questions

The nurse is talking with the parent of a 22-month-old client. The parent states, 'I am worried about my child's thumb-sucking and its effects on tooth alignment.' Which of the following responses would be appropriate for the nurse to make? Select all that apply.
The nurse is caring for an assigned team of clients. Which client is the priority for the nurse at this time?
The nurse has reinforced teaching with a client with newly diagnosed polycythemia vera. Which of the following statements by the client would require follow-up?
The nurse just administered routine immunizations to a healthy 15-month-old. What information should the nurse reinforce with the caregivers before they leave the clinic?
The nurse is evaluating a parent's understanding of home care management for a 2-week-old client after initial cast placement for treatment of congenital clubfoot. Which of the following statements by the parent indicate a correct understanding? Select all that apply.

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