NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Three days following surgery, a client with cast on his right leg would like to ambulate for the first time. He has not been seen by the physical therapist. For the last three days he has been sitting on the edge of the bed with feet dangling. Today, he called the nurse to walk him to the washroom.
Question 1 of 5
Using a sound judgment, the nurse's most appropriate response would be which of the following?
Correct Answer: D
Rationale: Consulting the physician ensures safe ambulation, as the patient has not been assessed by physical therapy.
Extract:
Question 2 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 3 of 5
Acyclovir is the drug of choice for:
Correct Answer: B
Rationale: Acyclovir is specifically effective against herpes simplex virus (HSV) types 1 and 2 and varicella-zoster virus (VZV) by inhibiting viral DNA replication. It is not the drug of choice for HIV, CMV, or influenza A. Physiological Adaptation
Question 4 of 5
The nurse has taken the vital signs of a 95-year-old client: oral temperature = 98.6°F; pulse = 84 with a regular irregularity; respirations = 18; blood pressure = 140/86. Which nursing assessment(s) should be done first to obtain more data?
Correct Answer: A
Rationale: A regular irregularity in pulse suggests an arrhythmia, requiring an apical pulse for one minute to confirm and assess severity.
Extract:
Ms. Wilson is a 45-year-old female presents to the clinic with unexplained weight loss, anxiety, heat intolerance and palpitations. Exams reveal mild systolic hypertension, exophthalmos, lid lag, non-pitting leg edema, and a diffusely enlarged painless thyroid gland. Lab results showed depressed TSH and borderline T3 and T4. Hyperthyroidism was confirmed.
Question 5 of 5
As a result of low levels of T3 and T4, the nurse should expect Ms. Wilson to exhibit:
Correct Answer: C
Rationale: Decreased production of thyroid hormones lowers metabolism, which leads to intolerance to cold. However, the question seems to misalign with the hyperthyroidism diagnosis; in hyperthyroidism, T3 and T4 are elevated, but the answer choices suggest hypothyroidism. Given the options, cold intolerance is the correct choice for low T3/T4.