NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
While retrieving her voice messages, the public health nurse received a call from the patient who is receiving short acting insulin for her diabetes. The patient states, 'I know I have a severely low sugar since the regular insulin was given 3 hours ago and it peaks in 2 hours.'
Question 1 of 5
When the nurse returns the call, the first question she will ask the patient would be?
Correct Answer: B
Rationale: Hypoglycemia is likely if the patient has not eaten post-insulin, making this the priority question to assess the cause.
Extract:
The nurse would expect an elderly client with a hearing loss caused by aging to have:
Question 2 of 5
The nurse would expect an elderly client with a hearing loss caused by aging to have:
Correct Answer: D
Rationale: Presbycusis, age-related hearing loss, results from inner ear damage.
Extract:
Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia. She develops a neutropenia from the chemotherapy.
Question 3 of 5
Neutropenia means
Correct Answer: A
Rationale: Neutropenia involves low neutrophils, often with low WBC, platelets, and RBC in leukemia.
Extract:
Question 4 of 5
Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia. Which finding signals a significant problem during this procedure?
Correct Answer: B
Rationale: An increased WBC count indicates infection, probably resulting from peritonitis, which may have been caused by insertion of the peritoneal catheter into the peritoneal cavity. Peritonitis can cause the peritoneal membrane to lose its ability to filter solutes; therefore, peritoneal dialysis would no longer be a treatment option for this client. Hyperglycemia occurs during peritoneal dialysis because of the high glucose content of the dialysate; it's readily treatable with sliding-scale insulin. A potassium level of 3.8 mEq/L is an acceptable value. An HCT of 35% is lower than normal. However, in this client, the value isn't abnormally low because of the daily blood samplings. A lower HCT is common in clients with chronic renal failure because of the lack of erythropoietin.
Question 5 of 5
The nurse is teaching a client with a new diagnosis of hypertension about medication adherence. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Stopping antihypertensive medication when blood pressure normalizes risks rebound hypertension, indicating a need for further teaching. Daily timing (
A), reporting side effects (
C), and continued use (
D) reflect proper understanding.