NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Following a successful treatment from hypothyroidism, the patient is discharged with Synthroid.
Question 1 of 5
Which of the following discharged instruction is inappropriate?
Correct Answer: D
Rationale: Synthroid is best taken in the morning to avoid insomnia, making bedtime administration inappropriate.
Extract:
Following major abdominal surgery, Mrs. Lafayette, was started on Morphine infusion via PCA (patient's controlled analgesia) pump.
Question 2 of 5
Priority nursing care for the patient would include:
Correct Answer: A
Rationale: Morphine sulfate is a central nervous system depressant, and respiratory depression is a serious side effect, making respiratory status the priority.
Extract:
Question 3 of 5
An adolescent with type 1 diabetes mellitus is experiencing a growth spurt. Which treatment approach would be most effective for this client?
Correct Answer: B
Rationale: During an adolescent growth spurt, a regimen of multiple insulin doses achieves better control of the blood glucose level because it more closely simulates endogenous insulin release. A single daily dose of insulin wouldn't control this client's blood glucose level as effectively. Limiting dietary fat intake wouldn't help the body use glucose at the cellular level. An adolescent with type 1 diabetes mellitus doesn't produce insulin and therefore can't receive an oral antidiabetic agent instead of insulin.
Question 4 of 5
A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode. In the ICU, continuous Heparin drip therapy is initiated. Which of the following assessment findings indicates a positive response to Heparin therapy?
Correct Answer: B
Rationale: Heparin in DIC halts excessive clotting, preserving fibrinogen by preventing its conversion to fibrin. Increased fibrinogen indicates effective therapy. Other options are secondary or less specific indicators. Physiological Adaptation
Question 5 of 5
The nurse is supervising the staff providing care for an 18-month-old hospitalized with hepatitis A. The nurse determines that the staff's care is appropriate if which of the following is observed?
Correct Answer: A
Rationale: Hepatitis A requires contact precautions for diapered patients due to fecal-oral transmission, necessitating a private room. Removing toys (
B) risks spreading contamination, a high-fat diet (
C) is inappropriate, and standard precautions alone (
D) are insufficient.