NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Forty eight to 72 hours post birth, blood test for PKU is taken on the neonate.
Question 1 of 5
This test is called
Correct Answer: B
Rationale: The Guthrie blood test reliably detects abnormal phenylalanine levels as early as 4 days of age, provided the infant is fed a milk diet.
Extract:
Question 2 of 5
A client with ulcerative colitis is taking Azulfidine (Sulfasalazine). Which of the following instructions should be included in the nurse's teaching?
Correct Answer: C
Rationale: Azulfidine is a maintenance medication for ulcerative colitis, and clients should continue taking it even during remission to prevent flare-ups.
Extract:
After the patient has refused the medication, the next step taken by the nurse will be:
Question 3 of 5
Document the patient's refusal.
Correct Answer: B
Rationale: Exploring the reason for refusal helps address concerns and promote adherence.
Extract:
Question 4 of 5
An agitated, confused client arrives in the emergency department. The client's history includes type 1 diabetes, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the nurse teaches the client to treat hypoglycemia by ingesting:
Correct Answer: B
Rationale:
To reverse hypoglycemia, the American Diabetes Association recommends ingesting 10 to 15 g of a simple carbohydrate, such as three to five pieces of hard candy, two to three packets of sugar (4 to 6 tsp), or 4 oz of fruit juice. If necessary, this treatment can be repeated in 15 minutes. Ingesting only 2 to 5 g of a simple carbohydrate may not raise the blood glucose level sufficiently. Ingesting more than 15 g may raise it above normal, causing hyperglycemia.
Question 5 of 5
A patient with cirrhosis is experiencing ascites. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: Diuretics reduce fluid overload in ascites, as prescribed. High-sodium diets worsen fluid retention, fluid restriction is typically 1–1.5 liters, and supine positioning may impair breathing.