NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse should explain to a client that tolbutamide (Orinase) is effective for diabetics who
Correct Answer: B
Rationale:
Tolbutamide, an oral hypoglycemic, is effective for type 2 diabetes patients who produce minimal insulin, stimulating insulin release. Type 1 diabetics (
A) produce no insulin, injection inability (
C) is irrelevant, and low blood glucose (
D) is not an indication for tolbutamide.
Question 2 of 5
The nurse is caring for a client with a tracheostomy. Which of the following actions should the nurse perform to prevent complications?
Correct Answer: B
Rationale: Cleaning the inner cannula with sterile technique prevents infection and ensures airway patency, a priority in tracheostomy care. Suctioning (
A) is as needed, not routine, tie changes (
C) are less frequent, and dressings (
D) should be pre-cut and moisture-resistant.
Question 3 of 5
A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic. Which of the following findings, if assessed by the nurse, would indicate a possible complication?
Correct Answer: A
Rationale: Positive urine glucose and acetone suggest gestational diabetes mellitus (GDM), which can lead to placental insufficiency and fetal complications, requiring immediate evaluation. Pedal edema (
B), increased vaginal discharge (
C), and diaphragmatic pressure (
D) are common in late pregnancy and not typically concerning unless accompanied by other symptoms.
Question 4 of 5
An adult had an open cholecystectomy and has an open wound. The client refuses to look at the area during the dressing change. What is the most likely reason for this behavior?
Correct Answer: B
Rationale: Refusing to look at the wound suggests difficulty accepting a change in body image post-cholecystectomy, a common emotional response.
Question 5 of 5
A young boy is recently diagnosed with a seizure disorder. Which of the following statements by the boy's mother indicates a need for further teaching by the nurse?
Correct Answer: C
Rationale: Laying a seizing child on their back risks aspiration; the correct position is on the side. The other statements reflect appropriate seizure management. Reduction of Risk Potential