NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Francis' serum K+ level is 3.8 mEq/L. Potassium chloride 40 mEq has been prescribed to be added to the first liter of IV fluid.
Question 1 of 5
The nurse should
Correct Answer: C
Rationale: Ketoacidosis means high blood glucose. Insulin is expected to be administered to lower the blood glucose level. Insulin transports potassium back to the cell, so potassium IV is usually given prophylactically with insulin.
Extract:
Question 2 of 5
A nurse is caring for a patient with obsessive-compulsive disorder (OCD). Which of the following interventions is most appropriate?
Correct Answer: C
Rationale: Setting time limits on rituals balances reducing OCD behaviors with minimizing anxiety, supporting therapy goals. Preventing or encouraging rituals exacerbates symptoms, and ignoring dismisses treatment needs.
Question 3 of 5
A 74 year-old male is admitted due to inability to void. He has a history of an enlarged prostate and has not voided in 14 hours. When assessing for bladder distension, the best method for the nurse to use is to assess for
Correct Answer: C
Rationale: Rounded swelling above the pubis. Swelling above the pubis is representative of a distended bladder in the male client.
Extract:
In Rh incompatibility, the father is Rh positive and the mother is Rh negative.
Question 4 of 5
Rhogam must be administered:
Correct Answer: A
Rationale: Rhogam is given after abortion or delivery to prevent Rh sensitization.
Extract:
Question 5 of 5
The nurse has taken the vital signs of a 95-year-old client: oral temperature = 98.6°F; pulse = 84 with a regular irregularity; respirations = 18; blood pressure = 140/86. Which nursing assessment(s) should be done first to obtain more data?
Correct Answer: A
Rationale: A regular irregularity in pulse suggests an arrhythmia, requiring an apical pulse for one minute to confirm and assess severity.