NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Francis is a 48-year-old female with elevated blood sugar.
Question 1 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:
Question 2 of 5
The nurse is assessing a client with a history of asthma who presents with wheezing and shortness of breath. The nurse should prioritize which of the following actions?
Correct Answer: A
Rationale: Wheezing and shortness of breath in asthma indicate bronchoconstriction, and administering a bronchodilator (e.g., albuterol) as ordered is the priority to relieve airway obstruction. Supine positioning (
B) worsens breathing, X-rays (
C) are diagnostic, and deep breathing (
D) is secondary.
Extract:
When obtaining a health history from a young patient with probable acute lymphocytic leukemia (ALL), the clinical manifestations the nurse should expect to be present:
Question 3 of 5
When obtaining a health history from a young patient with probable acute lymphocytic leukemia (ALL), the clinical manifestations the nurse should expect to be present:
Correct Answer: C
Rationale: Anorexia and petechiae are common in ALL due to bone marrow suppression.
Extract:
Question 4 of 5
A client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects a belief that he is:
Correct Answer: A
Rationale: A client with delusions of grandeur has a false belief that he is highly important or famous. A delusion of persecution is a false belief that one is being persecuted. A delusion of reference is a false belief that one is connected to events unrelated to oneself or a belief that one is responsible for the evil in the world.
Question 5 of 5
A 7-year-old boy is in the hospital with Reye's syndrome. He has been ill for two weeks with the flu. He ran high fevers and was treated with four baby aspirin alternating with 325-mg chewable Tylenol and sponge baths to control the fever. He also had a rash on his body that was itchy, and his mother used lotion and Benadryl to control the itching. Besides history of the flu, which factor in his history is associated with development of Reye's syndrome?
Correct Answer: C
Rationale: Aspirin use in children with viral infections, like the flu, is strongly linked to Reye's syndrome, a rare but serious condition affecting the liver and brain.