NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The physician prescribes meperidine (Demerol), 1.1 mg/kg I.M., for a 16-month-old child who has just had abdominal surgery. When administering this drug, the nurse should use a needle of which size?
Correct Answer: C
Rationale: For an infant, the nurse should use a needle with the smallest appropriate gauge for the medication to be given. For an I.M. injection of meperidine, a 25G to 22G needle is appropriate.
Question 2 of 5
A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?
Correct Answer: D
Rationale: Morphine can cause sphincter of Oddi spasm, worsening pancreatitis pain, and should be questioned. Meperidine is preferred, and Mylanta/cimetidine are appropriate for symptom management.
Question 3 of 5
A nurse is caring for a patient with obsessive-compulsive disorder (OCD). Which of the following interventions is most appropriate?
Correct Answer: C
Rationale: Setting time limits on rituals balances reducing OCD behaviors with minimizing anxiety, supporting therapy goals. Preventing or encouraging rituals exacerbates symptoms, and ignoring dismisses treatment needs.
Question 4 of 5
An adult has completed an alcohol detoxification program and will be discharged later today. Which comment indicates the best understanding of the discharge care?
Correct Answer: C
Rationale: Attending AA meetings indicates commitment to sobriety and support, essential for recovery post-detoxification.
Extract:
Mrs. A is a 40-year-old woman who reports menstrual irregularities and believes she is experiencing an early menopause. She reports feeling fatigue and restless at times. Physical findings reveal a thin woman with fine hair, moist, warm skin, and a goiter with bruit present. Heart rate is 110; BP 140/80.
Question 5 of 5
These findings are consistent with:
Correct Answer: B
Rationale: Symptoms and findings like goiter, tachycardia, and moist skin indicate Grave's disease (hyperthyroidism).