NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
When applying nitroglycerin ointment to a client's chest, which nursing technique is most appropriate?
Correct Answer: A
Rationale: Squeezing a ribbon of ointment onto an applicator paper ensures accurate dosing and prevents contamination or overuse.
Question 2 of 5
A client with diabetes comes to the emergency department. The nurse obtains a blood glucose measurement with a result of 650 mg/dL. The physician orders I.V. insulin. Which type of insulin can be given both intravenously and subcutaneously?
Correct Answer: A
Rationale: Regular insulin is safe for both IV and subcutaneous administration due to its rapid onset and short duration.
Question 3 of 5
The nurse is teaching a client about warfarin (Coumadin) therapy. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Ibuprofen increases bleeding risk with warfarin; the client should use acetaminophen, indicating a need for further teaching.
Question 4 of 5
A client with a history of hypothyroidism is prescribed levothyroxine. Which instruction should the nurse include?
Correct Answer: A
Rationale: Taking levothyroxine on an empty stomach enhances absorption.
Question 5 of 5
The office nurse is caring for the client diagnosed with chlamydia and syphilis. Based on this diagnosis, which medication order would require the nurse's immediate review with the prescribing HCP?
Correct Answer: C
Rationale: A. Doxycycline (Vibramycin), a tetracycline antibiotic, is an appropriate drug for treating chlamydia. B. Azithromycin (Zithromax), a semisynthetic macrolide antibiotic, is an appropriate drug for treating chlamydia. C. Metronidazole (Flagyl) is an anti-infective against anaerobic organisms, an amoebicide, and an antiprotozoal agent. It is not indicated for either chlamydia or syphilis. Flagyl is used to treat bacterial vaginosis and trichomoniasis. Collaboration with the HCP is necessary to discuss and clarify the order. D. Penicillin G (Bicillin) is an appropriate drug for treating syphilis.