NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
When assessing a patient with pleural effusion, the nurse should expect to find:
Question 1 of 5
When assessing a patient with pleural effusion, the nurse should expect to find:
Correct Answer: C
Rationale: Pleural effusion causes fluid accumulation, reducing or eliminating breath sounds at the lung base.
Extract:
Question 2 of 5
A client on telemetry begins having premature ventricular beats (PVBs) at 12 per minute. In reviewing the most recent laboratory results, which would require immediate action by the nurse?
Correct Answer: C
Rationale: The patient is at risk for ventricular dysrhythmias when the potassium level is low.
Question 3 of 5
The nurse is monitoring a client's EKG strip and notes coupled premature ventricular contractions greater than 10 per minute. The nurse should expect to administer which of the following?
Correct Answer: D
Rationale: Lidocaine is the drug of choice for frequent (>6–10/min) or coupled premature ventricular contractions (PVCs), as it suppresses ventricular arrhythmias and prevents ventricular tachycardia. Atropine (
A) treats bradycardia, isoproterenol (
B) is used for heart block, and verapamil (
C) is a calcium-channel blocker for supraventricular arrhythmias.
Question 4 of 5
The nurse is preparing to administer a medication via a nasogastric tube. Which of the following actions should the nurse perform FIRST?
Correct Answer: B
Rationale: Checking NG tube placement (e.g., via pH testing of aspirate) ensures the medication is delivered to the stomach, preventing aspiration. Crushing medication (
A) and flushing (
C) follow placement confirmation, and supine positioning (
D) increases aspiration risk.
Question 5 of 5
Which nursing action is essential when providing continuous enteral feeding?
Correct Answer: A
Rationale: Elevating the head of the bed at least 30 degrees during enteral feeding minimizes the risk of aspiration and allows the formula to flow into the client's intestines. When such elevation is contraindicated, the client should be positioned on the right side. The nurse should give enteral feedings at room temperature to minimize GI distress.
To limit microbial growth, the nurse should hang only the amount of formula that can be infused in 8 hours.