NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The physician has ordered thiamine 100 mg IM for a client with chronic alcoholism. The primary reason for giving thiamine is:
Correct Answer: C
Rationale: Thiamine is given to treat or prevent neurological symptoms, such as Wernicke's encephalopathy, caused by thiamine deficiency in chronic alcoholism.
Question 2 of 5
A nurse is administering insulin lispro (Humalog) to a patient with diabetes mellitus. Which of the following statements indicates the patient understands the medication?
Correct Answer: C
Rationale: Insulin lispro is a rapid-acting insulin administered immediately before meals to control postprandial glucose. Other timings disrupt glycemic control.
Extract:
Screening for high blood cholesterol in the community is under:
Question 3 of 5
Screening for high blood cholesterol in the community is under:
Correct Answer: C
Rationale: Cholesterol screening is secondary prevention, identifying at-risk individuals for early intervention.
Extract:
Question 4 of 5
A client has just been diagnosed with breast cancer. The nurse enters the room and the client tells the nurse that she is stupid. What is the most therapeutic response by the nurse?
Correct Answer: A
Rationale: Exploring feelings with the verbally aggressive client helps to put angry feelings into words and then to engage in problem solving.
Question 5 of 5
A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?
Correct Answer: B
Rationale: Morphine sulfate, a narcotic analgesic, causes central nervous system (CNS) and respiratory depression. In patients with head injuries, it is contraindicated because it masks signs of increased intracranial pressure (ICP), such as changes in level of consciousness, which are critical for monitoring neurological status. Promethazine is an antiemetic, docusate is a stool softener, and ranitidine prevents stress ulcers, none of which pose the same risk in this context.