NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
A patient has an anaphylactic reaction within the 1st half hour after an IV infusion containing Ampicillin is started.
Question 1 of 5
The nurse understands that the symptoms occurring during an anaphylactic reaction are the result of:
Correct Answer: C
Rationale: Anaphylaxis causes bronchoconstriction and vasodilation, leading to respiratory distress and hypotension.
Extract:
Question 2 of 5
A child is sent to the school nurse by a teacher who has a written note that fifth disease is suspected. Which characteristic would the nurse expect to find?
Correct Answer: B
Rationale: Erythema on the face, primarily on cheeks giving a 'slapped face' appearance. This is a hallmark of fifth disease (erythema infectiosum).
Question 3 of 5
A patient is prescribed 0.5 mg of lorazepam IV. The medication is available as 2 mg/mL. How many mL should the nurse administer?
Correct Answer: B
Rationale: 0.5 mg ÷ 2 mg/mL = 0.25 mL. Other options are incorrect calculations.
Extract:
After a patient has cataract surgery, the nurse should:
Question 4 of 5
After a patient has cataract surgery, the nurse should:
Correct Answer: D
Rationale: Avoiding vigorous activities like brushing prevents increased intraocular pressure post-cataract surgery.
Extract:
Question 5 of 5
The nurse is monitoring the fluid status of a 63-year-old woman receiving IV fluids following surgery. Which of the following symptoms would suggest to the nurse that the patient has fluid volume overload?
Correct Answer: B
Rationale: Fluid volume overload is characterized by symptoms such as bounding pulse, elevated blood pressure, respiratory crackles (due to pulmonary edema), distended neck veins, edema, headache, polyuria, diarrhea, and liver enlargement.
Choice B includes respiratory crackles and a bounding pulse, which are hallmark signs.
Choice A suggests dehydration, choice C could have other causes, and choice D shows normal CVP and unrelated nystagmus.