NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
Which nursing action best determines if a client has a fecal impaction?
Correct Answer: D
Rationale: A digital rectal exam directly confirms the presence of hard, impacted stool in the rectum.
Question 2 of 5
The nurse is teaching the client about metronidazole, which has been prescribed for treating trichomoniasis. Which client comment indicates the need for additional education?
Correct Answer: B
Rationale: A. Clients may experience a metallic taste while taking metronidazole. B. Drinking alcohol while on metronidazole (Flagyl) is contraindicated. It can cause a disulfiram-like reaction with nausea, vomiting, abdominal cramps, headache, and flushing. C. Metronidazole can turn urine dark. It is important to inform clients of this. D. Nausea can occur when taking metronidazole. Taking it with food or milk may decrease GI irritation.
Question 3 of 5
The client with waits in the labial area is being seen in the clinic. The client is tearful and states to the nurse, "I'm so embarrassed that I let this happen to me." Which response by the nurse is appropriate?
Correct Answer: C
Rationale: A. This response dismisses the client's feelings of embarrassment over an STI. B. This response dismisses the client's feelings and promotes client dependency. It does not allow for further exploration of feelings. C. This response is appropriate because it acknowledges the client's feelings. It provides brief information and then time for the client to express thoughts regarding the situation. D. This response dismisses the client's feelings.
Question 4 of 5
The noon blood glucose level of a client with type 1 diabetes mellitus is 250 mg/dL. The physician orders a sliding-scale insulin regimen based on the client's blood glucose level. The order reads, 'Give regular insulin using the following scale: 0 to 140 mg/dL: None; 141 to 200 mg/dL: 2 units; 201 to 250 mg/dL: 4 units; 251 to 300 mg/dL: 6 units; 301 to 350 mg/dL: 8 units; 351 to 400 mg/dL: 10 units; Over 400 mg/dL: Notify physician.' How many units of insulin should the nurse plan to give?
Correct Answer: B
Rationale: A blood glucose of 250 mg/dL corresponds to 4 units of regular insulin per the sliding-scale order.
Question 5 of 5
The nurse is reviewing hospital admission orders for the client diagnosed with acute prostatitis- Which prescription should the nurse verify with the HCP?
Correct Answer: D
Rationale: A. Trimethoprim/sulfamethoxazole (Bactrim) is a common antibiotic used to treat acute prostatitis. B. Analgesics, such as ibuprofen (Motrin), should be used for pain control, and rest should be encouraged. C. Increasing fluid intake and voiding often help decrease irritation when emptying the bladder. D. Passage of a urinary catheter through an inflamed urethra is contraindicated in acute prostatitis. If urinary retention is a concern, a suprapubic catheter should be placed.