NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
Which of the following drug administrations should be reported as a practice error? Select all that apply.
Correct Answer: A,E
Rationale: Cephalexin in a penicillin-allergic client risks anaphylaxis, and warfarin in pregnancy can cause fetal harm. Pruritus and flushing are expected side effects, and the ventrogluteal site is appropriate.
Question 2 of 5
The nurse is providing instructions to a new mother on the proper techniques for breast feeding her infant. Which statement by the mother indicates the need for additional instruction?
Correct Answer: D
Rationale: I can switch to a bottle if I need to take a break from breast feeding. Introducing a bottle during early breastfeeding can cause nipple confusion and weaken the baby's suck.
Question 3 of 5
The nurse is to observe the client for shock. The client's admitting vital signs are blood pressure (BP)=116/70, pulse=86, and respirations=24. Which finding, if observed, would be most suggestive of shock?
Correct Answer: B
Rationale: Increased pulse (tachycardia) is a hallmark of shock, compensating for reduced volume. Stable or slightly varied BP and low pulse are less indicative.
Question 4 of 5
The nurse is caring for a client who is having a thoracentesis. Following the procedure, the nurse monitors for complications. The initial post-procedure monitoring plan should include what? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Monitoring alertness, lung sounds, oxygen saturation, and respiratory pattern detects complications like pneumothorax or respiratory distress.
Question 5 of 5
Which of the following drug administrations should be reported as a practice error? Select all that apply.
Correct Answer: A,E
Rationale: Cephalexin in a penicillin-allergic client risks anaphylaxis, and warfarin in pregnancy can cause fetal harm. Pruritus and flushing are expected side effects, and the ventrogluteal site is appropriate.