NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The parent of a preschooler with chickenpox asks the nurse about measures to make the child comfortable. The nurse instructs the parent to avoid administering aspirin or any other product that contains salicylates. When given to children with chickenpox, aspirin has been linked to which disorder?
Correct Answer: C
Rationale: Research shows a correlation between the use of aspirin during chickenpox and the development of Reye's syndrome (a disorder characterized by brain and liver toxicity).
Therefore, the nurse should instruct the parents to avoid administering aspirin or other products that contain salicylates and to consult the physician or pharmacist before administering any medication to a child with chickenpox. No research has found a link between aspirin use, chickenpox, and the development of Guillain-Barré syndrome, rheumatic fever, or scarlet fever.
Question 2 of 5
Order: Neupogen (filgrastim) 300 mcg subcutaneous. stat. The patient weighs 132 pounds. The medication is available 300 mcg/mL. If the recommended dose is 5 mcg/kg/d/kg pres. 10 studeoen the prescribed dose is safe, how many milliliters will you administer?
Correct Answer: D
Rationale: 132 pounds ÷ 2.2 = 60 kg. Safe dose: 5 mcg/kg × 60 kg = 300 mcg, matching the order. 300 mcg ÷ 300 mcg/mL = 1 mL. Other options are incorrect.
Question 3 of 5
The nurse observes a woman in the first stage of labor and encourages her to push before the cervix is fully dilated. The nurse's action could primarily lead to
Correct Answer: D
Rationale: The weight of the uterus can put pressure on the vena cava and aorta when a pregnant woman is flat on her back causing supine hypotension. Turning the woman to the side reduces this pressure and relieves postural hypotension.
Question 4 of 5
The client is admitted to the hospital with a hypertensive crisis. Diazoxide (Hyperstat) is ordered. During administration the nurse should:
Correct Answer: B
Rationale: Hyperstat is given IV push for hypertensive crisis. It often causes hyperglycemia. The glucose level will drop rapidly after the medication is administered. Answer A is incorrect because this medication is given IV push. The client should be placed in dorsal recumbent position, not Trendelenburg, so answer C is incorrect. Answer D is incorrect because the medication is ordered IV push.
Question 5 of 5
An adult who is on dialysis asks if he can take insulin before the dialysis treatment. Which of the following statements is true about insulin and dialysis and should be included in the nurse's reply?
Correct Answer: A
Rationale: Insulin is not significantly removed by hemodialysis, so it can be taken before treatment without loss of efficacy. It does not enhance dialysis, nor is it destroyed or stimulated by dialysis.