NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The physician orders palifermin (Kepivance) 60 mcg/kg to be administered daily. The client weighs 35 kg. The medication is supplied 5 mg/mL. How many mL would you administer?
Correct Answer: A
Rationale: Dose: 60 mcg/kg × 35 kg = 2100 mcg = 2.1 mg. 2.1 mg ÷ 5 mg/mL = 0.42 mL. Other options are incorrect calculations.
Extract:
Thrombus formation is a danger for all post operative patients. The nurse should act independently to prevent this complication by:
Question 2 of 5
The nurse should act independently to prevent this complication by:
Correct Answer: C
Rationale: In-bed exercises promote venous return, reducing the risk of thrombus formation.
Extract:
Question 3 of 5
Following a small-bowel resection, a client develops fever and anemia. The surface surrounding the surgical wound is warm to the touch and necrotizing fasciitis is suspected. Another manifestation that would most suggest necrotizing fasciitis is:
Correct Answer: C
Rationale: Severe pressurelike pain out of proportion to visible signs distinguishes necrotizing fasciitis from cellulitis. Erythema, leukocytosis, and swelling are present in both cellulitis and necrotizing fasciitis.
Question 4 of 5
The nurse is caring for a 13 year-old following spinal fusion for scoliosis. Which of the following interventions is appropriate in the immediate post-operative period?
Correct Answer: C
Rationale: Maintain in a flat position, logrolling as needed. The bed should remain flat for at least the first 24 hours to prevent injury.
Question 5 of 5
Steam inhalation is prescribed for a client. Which of the following safety precautions should the nurse include in the client's instructions?
Correct Answer: C
Rationale: Turning off the humidifier when not in use prevents electrical hazards and bacterial growth. Distilled water is ideal but not critical, overfilling is unnecessary, and cleaning frequency depends on use.