NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
A patient with CAD has a sudden episode of cyanosis & a change in respiration.
Question 1 of 5
The nurse starts O2 administration immediately. In this situation:
Correct Answer: B
Rationale: Cyanosis and respiratory changes justify immediate oxygen administration in CAD patients.
Extract:
The nurse assesses the patient with cholecystitis for the development of obstructive jaundice, which would be evidenced by:
Question 2 of 5
The nurse assesses the patient with cholecystitis for the development of obstructive jaundice, which would be evidenced by:
Correct Answer: C
Rationale: Obstructive jaundice causes dark urine, clay-colored stools, and itchy skin due to bilirubin buildup.
Extract:
Question 3 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 4 of 5
The nurse is caring for a 16-year-old pregnant client who is taking an iron supplement. Which instruction should the nurse include when teaching the adolescent about ferrous sulfate? Select all that apply:
Correct Answer: C,D,E
Rationale: Because food delays absorption, the nurse should instruct the client to take the supplement between meals to increase absorption. The client should take the supplement with juice (preferably orange juice) or water, but not with milk or antacids. The nurse should also tell the client not to crush or chew extended-release forms of the drug.
Question 5 of 5
A nurse is to administer 500 mL of IV fluid over 4 hours. The IV tubing has a drop factor of 20 drops per mL. What is the flow rate in drops per minute?
Correct Answer: B
Rationale: 500 mL ÷ 4 hours = 125 mL/h. (125 mL/h ÷ 60 min) × 20 gtt/mL = 41.67 gtt/min, rounded to 42 gtt/min. Other options are incorrect.