NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse will administer liquid medicine to a 9 month-old child. Which of the following methods is appropriate?
Correct Answer: B
Rationale: Using a needle-less syringe to give liquid medicine to an infant is often the safest method. If the nurse directs the medicine toward the side or the back of the mouth, gagging will be reduced.
Question 2 of 5
The physician orders the antibiotics ampicillin (Omnipen) and gentamicin (Garamycin) for a newly admitted client with an infection. The nurse should:
Correct Answer: B
Rationale: Ampicillin and gentamicin are pH-incompatible, so they must be given sequentially with thorough flushing to prevent precipitation in the IV line. Simultaneous or delayed administration is inappropriate. Pharmacological Therapies
Extract:
Laboratory Reference Range
Glucose - Random
71-200 mg/dL
(3.9-11.1 mmol/L)
Question 3 of 5
The nurse is caring for a client with diabetes mellitus. The client is alert and oriented but appears shaky and pale. The client's capillary blood glucose level is 50 mg/dL (2.8 mmol/L). Which of the following actions should the nurse take next?
Correct Answer: B
Rationale: A blood glucose of 50 mg/dL indicates hypoglycemia. Giving 4 oz of regular soda provides fast-acting carbohydrates to raise blood sugar quickly. Glucagon is used for severe hypoglycemia when the client is unresponsive, and repeating the test delays treatment.
Extract:
Question 4 of 5
The nurse is caring for a client who had a transsphenoidal hypophysectomy and developed diabetes insipidus. Which of the following findings would the nurse expect to observe? Select all that apply.
Correct Answer: A,B,C
Rationale: Diabetes insipidus results from antidiuretic hormone deficiency, causing excessive thirst, increased dilute urine output, and increased serum osmolality due to water loss. Serum sodium may increase, not decrease, and urine specific gravity is low due to dilute urine.
Question 5 of 5
The nurse is making a home visit to a client with chronic obstructive pulmonary disease (COPD). The client tells the nurse that he used to be able to walk from the house to the mailbox without difficulty. Now, he has to pause to catch his breath halfway through the trip. Which diagnosis would be most appropriate for this client based on this assessment?
Correct Answer: A
Rationale: Activity intolerance caused by fatigue related to chronic tissue hypoxia. This reflects the client's reduced capacity for physical activity due to COPD.