NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
When performing an assessment on the client with emphysema, the nurse finds that the client has a barrel chest. The alteration in the client's chest is due to:
Correct Answer: B
Rationale: Clients with emphysema develop a barrel chest due to the trapping of air in the lungs, causing them to hyperinflate. Answers C and D are common in those with emphysema but do not cause the chest to become barrel shaped. Answer A does not occur in emphysema.
Question 2 of 5
A wrong committed by one person against another (or against the property of another) that might result in a civil trial is:
Correct Answer: A
Rationale: A tort is a civil wrong, like negligence, that may lead to a civil trial. Crimes, including misdemeanors and felonies, are offenses against the public, often prosecuted criminally. Coordinated Care
Question 3 of 5
The nurse is reinforcing discharge instructions for the parents of a 4-year-old client with heart failure. What statement made by the parents indicates a need for further teaching?
Correct Answer: A
Rationale: Holding heart failure medication (e.g., digoxin) for a heart rate above 90/min is incorrect for a 4-year-old, as their normal heart rate is 80-120/min; the threshold is typically lower (e.g., <60/min). Not repeating a dose after vomiting, avoiding mixing with food, and reporting nausea/vomiting are correct.
Question 4 of 5
The client has an order for a peak to be drawn on a client receiving Garamycin. The nurse is aware that he should contact the lab for them to draw the blood:
Correct Answer: C
Rationale: Peak levels for gentamicin (Garamycin) are drawn 1 hour after infusion to assess maximum drug concentration and guide dosing to avoid toxicity.
Question 5 of 5
The nurse will administer liquid medicine to a 9 month-old child. Which of the following methods is appropriate?
Correct Answer: B
Rationale: Using a needle-less syringe to give liquid medicine to an infant is often the safest method. If the nurse directs the medicine toward the side or the back of the mouth, gagging will be reduced.