NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
With an alert of an internal disaster and the need for beds, the charge nurse is asked to list clients who are potential discharges within the next hour. Which client should the charge nurse select?
Correct Answer: A
Rationale: This client is the most stable and has a chronic condition. Tylenol intoxication requires at least 3 to 4 days of intensive observation for the risk of hepatic failure. The other clients would be considered unstable.
Question 2 of 5
A nurse assessing the newborn of a mother with diabetes understands that hypoglycemia is related to what?
Correct Answer: A
Rationale: Disruption of fetal glucose supply. After delivery, the high glucose levels which crossed the placenta to the fetus are suddenly stopped. The newborn continues to secrete insulin in anticipation of glucose. When oral feedings begin, the newborn will adjust insulin production within a day or two.
Extract:
Physical findings commonly seen in hypothyroidism include:
Question 3 of 5
Physical findings commonly seen in hypothyroidism include:
Correct Answer: A
Rationale: Coarse hair and brittle nails are typical in hypothyroidism due to slowed metabolism.
Extract:
Question 4 of 5
During a routine examination, the nurse notes that the client seems unusually anxious. Anxiety can affect the genitourinary system by:
Correct Answer: D
Rationale: Anxiety may stimulate or hinder micturition. Its most noticeable effect is to cause frequent voiding and urinary urgency. However, when anxiety leads to generalized muscle tension, it may hinder urination because the perineal muscles must relax to complete micturition. Anxiety doesn't slow the glomerular filtration rate, increase sodium resorption, or decrease potassium excretion.
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 5 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.