NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The oncoming nurse is receiving report on 4 clients. Which should be the priority assessment?
Correct Answer: A
Rationale: Elevated blood pressure (160/88 mm Hg) post-carotid endarterectomy risks hematoma or stroke, making it the priority. Other conditions are less urgent.
Question 2 of 5
The nurse is caring for a client who has a prescription for nalbuphine 10 mg/70 kg subcutaneously once. The client weighs 187 lb (85 kg). The nurse has nalbuphine 10 mg/1 mL available. How many mL should the nurse administer to the client? Record your answer using 1 decimal place.
Correct Answer: 1.2
Rationale: Dose = (10 mg/70 kg) × 85 kg = 12.14 mg. Volume = 12.14 mg ÷ 10 mg/mL = 1.2 mL.
Question 3 of 5
The nurse is preparing the room of a client returning from a subtotal thyroidectomy. Which item should be placed at the bedside of a client with a subtotal thyroidectomy?
Correct Answer: B
Rationale: A tracheostomy set is essential post-thyroidectomy due to the risk of airway obstruction from swelling or hematoma. Other equipment is less immediately relevant.
Question 4 of 5
Which of the following should the nurse obtain from a client prior to having electroconvulsive therapy (ECT)?
Correct Answer: D
Rationale: Pre-anesthesia work-up. ECT is delivered under general anesthesia and the client should be prepared as for any procedure involving anesthesia.
Question 5 of 5
A blood transfusion has just been started on an adult. Which assessment is most essential during the first hour?
Correct Answer: A
Rationale: Temperature monitoring detects febrile transfusion reactions, a common early complication, prioritizing patient safety.