NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
When admitting a client to an acute care facility, an identification bracelet is sent up with the admission form. In the event these do not match, the nurse's best action is to
Correct Answer: C
Rationale: The Admissions Office has the responsibility to verify the client's identity and keep all the records in the system consistent. Making changes puts the client at risk for misidentification.
Question 2 of 5
The nurse is working in a high risk antepartum clinic. A 40 year-old woman in the first trimester gives a thorough health history. Which information should receive priority attention by the nurse?
Correct Answer: D
Rationale: Over-the-counter drugs are a possible danger in early pregnancy. A report by the client that she has taken medications should be followed up immediately.
Question 3 of 5
The client's mother contacts the clinic regarding medication administration stating, 'My daughter can't swallow this capsule. It's too large.' Investigation reveals that the medication is a capsule marked SR. The nurse should instruct the mother to:
Correct Answer: C
Rationale: SR (sustained release) capsules cannot be opened or crushed, as this alters their release mechanism. The pharmacist should be contacted for an alternative formulation.
Question 4 of 5
The nurse is caring for a preschool-aged child admitted with a diagnosis of suspected child abuse. During painful procedures, the child remains quiet and watchful. When planning the care of a victim of child abuse, the nurse should give priority to:
Correct Answer: B
Rationale: Assigning a consistent caregiver will best meet the child's need for safety and security. Playtime will be therapeutic for the child, but it does not have to be with same-age children, so answer A is incorrect. Answer C is too threatening to the child who has been abused, so it is incorrect. Answer D does not allow the child the chance to respond in an expected way, so it is incorrect.
Extract:
During the second phase of bum recovery, the nurse anticipates that the client will exhibit
Question 5 of 5
high serum potassium level.
Correct Answer: B
Rationale: An increased urinary output is a sign of adequate hydration during the second phase of burn recovery.