NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
A 28-year-old male with history of diabetes has been found wandering around in a confused pattern. The male is sweaty and pale.
Question 1 of 5
Which of the following tests is most likely to be performed first?
Correct Answer: A
Rationale: Confusion, sweating, and pallor in a diabetic suggest hypoglycemia, requiring immediate blood sugar testing.
Extract:
Question 2 of 5
The nurse is caring for a client with a myocardial infarction. Which finding requires the nurse's immediate action?
Correct Answer: B
Rationale: Dizzy spells. Cardiac dysrhythmias may cause a transient drop in cardiac output and decreased blood flow to the brain. Near syncope refers to lightheadedness, dizziness, temporary confusion. Such 'spells' may indicate runs of ventricular tachycardia or periods of asystole and should be reported immediately.
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 3 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:
A patient has been started on metformin for type 2 DM.
Question 4 of 5
You would tell your patient that the most common side effects of this drug are:
Correct Answer: C
Rationale: Frequent side effects of metformin include nausea and abdominal discomfort. Liver and kidney function tests are recommended before starting and periodically thereafter.
Extract:
Question 5 of 5
The nurse is caring for a client who underwent a total hip replacement 48 hours ago. Which of the following actions is MOST important to prevent complications?
Correct Answer: B
Rationale: Keeping the affected leg in a neutral position (e.g., avoiding adduction or extreme rotation) prevents hip dislocation, a major complication post-hip replacement. Ambulation (
A) is important but secondary, antibiotics (
C) depend on orders, and monitoring infection (
D) is routine.