NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
While obtaining a health history, the nurse learns that the client is allergic to bee stings. When obtaining this client's medication history, the nurse should determine if the client keeps which medication on hand?
Correct Answer: A
Rationale: A client who is allergic to bee stings should keep diphenhydramine on hand because its antihistamine action can prevent a severe allergic reaction. Pseudoephedrine is a decongestant, which is used to treat cold symptoms. Guaifenesin is an expectorant, which is used for coughs. Loperamide is an antidiarrheal agent.
Question 2 of 5
Which clinical finding would the nurse expect to assess first in a newborn with spastic cerebral palsy?
Correct Answer: D
Rationale: Cerebral palsy is a neuromuscular impairment resulting in muscular and reflexive hypertonicity and the criss-crossing, or scissoring leg movements.
Extract:
The nurse documents and performs which of the following when the patient refuses his medication?
Question 3 of 5
Kardex; physician.
Correct Answer: C
Rationale: Documenting in the medication record and progress notes, and informing the physician, ensures accurate communication.
Extract:
Question 4 of 5
The nurse is caring for an adult who had a transsphenoidal hypophysectomy earlier today. The client is now on the surgical unit after an uneventful stay in the postanesthesia care unit. How should the nurse position the client?
Correct Answer: C
Rationale: Semi-reclining reduces intracranial pressure and prevents cerebrospinal fluid leakage post-transsphenoidal hypophysectomy. Supine increases leakage risk, and upright or side-lying are less optimal.
Question 5 of 5
A primigravida, 26 years old and 33 weeks gestation, is admitted to the hospital with painless vaginal bleeding. She reports that the bleeding, which started 2 hours ago, has lessened in amount. Which of the following measures should be included in the client's care?
Correct Answer: B
Rationale: Counting the number of pads used quantifies blood loss, aiding in the assessment of conditions like placenta previa, which causes painless bleeding.