NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse reviews the ECG of a client. Which prescribed medication should the nurse suspect as the cause of the ECG findings?
Correct Answer: D
Rationale: Levothyroxine (
D) can cause arrhythmias, which may be reflected in ECG changes. Captopril (
A), Carvedilol (
B), and Glipizide (
C) are less likely to cause significant ECG alterations.
Question 2 of 5
The practical nurse is assisting with care for several newborns in the nursery. Which of the following findings are abnormal and need to be reported to the registered nurse? Select all that apply.
Correct Answer: A, D, E
Rationale: Chest retractions (
A), jaundice (
D), and no voiding (E) are abnormal and require reporting. Flaking skin (
B) and head circumference (
C) are normal for newborns.
Question 3 of 5
A client with a pyloric obstruction is admitted to the hospital with vomiting. Which of the following blood gases would the nurse expect to see in the client with vomiting?
Correct Answer: B
Rationale: Vomiting causes loss of hydrochloric acid, leading to metabolic alkalosis, indicated by a high pH (7.50) and normal to low PCO2.
Question 4 of 5
The nurse is performing tracheostomy care for a client who has a tracheostomy tube with a disposable inner cannula. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Suctioning before removing the inner cannula (
C) clears secretions and ensures airway patency. Alcohol-based solutions (
A) are irritating, humidification (
B) is needed, and removing the outer cannula (
D) is unsafe.
Question 5 of 5
The nurse is assisting with care of a client with blunt head injury admitted for observation, including hourly neurologic checks. At 1:00 AM, the client reports a headache; the neurologic check is normal, and the nurse administers acetaminophen prn. At 2:00 AM, the client appears to be sleeping. What action does the nurse anticipate taking?
Correct Answer: A
Rationale: Hourly neurologic checks require arousing the client to assess orientation (
A). Checking paresthesia (
B), assuming relief (
C), or only verifying respiratory rate (
D) do not meet monitoring requirements.