NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Thirty-minutes after the blood transfusion was started, the patient complains of urticaria in the chest, abdomen and both thighs.
Question 1 of 5
The PN will implement which nursing action as a priority?
Correct Answer: A
Rationale: Urticaria indicates a possible transfusion reaction, and the priority is to stop the infusion to prevent further complications.
Extract:
Francis is a 48-year-old female with elevated blood sugar.
Question 2 of 5
The type of insulin expected to be ordered by the physician to treat Francis elevated blood sugar would be:
Correct Answer: B
Rationale: Short-acting or regular insulin usually reaches the blood within 30 minutes after injection, peaks in 2 to 4 hours, and stays in the bloodstream for 6 to 8 hours. Because of its short and predictable peak action, regular insulin is routinely used for intravenous administration.
Extract:
Flaccid:
Question 3 of 5
Flaccid:
Correct Answer: A
Rationale: Flaccid refers to weak, limp muscles without tone.
Extract:
Question 4 of 5
The nurse is monitoring the fluid status of a 63-year-old woman receiving IV fluids following surgery. Which of the following symptoms would suggest to the nurse that the patient has fluid volume overload?
Correct Answer: B
Rationale: Fluid volume overload is characterized by symptoms such as bounding pulse, elevated blood pressure, respiratory crackles (due to pulmonary edema), distended neck veins, edema, headache, polyuria, diarrhea, and liver enlargement.
Choice B includes respiratory crackles and a bounding pulse, which are hallmark signs.
Choice A suggests dehydration, choice C could have other causes, and choice D shows normal CVP and unrelated nystagmus.
Question 5 of 5
The nurse is caring for a client in the emergency department who presents with a complaint of fatigue and shortness of breath. Which physical assessment findings if noted by the nurse warrants a need for follow up?
Correct Answer: C
Rationale: A reddish purple mark on the neck (e.g., bruising or petechiae) with fatigue and shortness of breath may indicate a hematologic or cardiovascular issue, requiring follow-up. Reddened sclera, scalp flaking, or rashes are less urgent and unrelated to the primary symptoms.