NCLEX-PN Online Practice Questions and Answers

A successful resolution of the nursing diagnosis Negative Self-Concept (related to unrealistic self-expectations) is when the client can __________.

A. report a positive self-concept

B. identify negative thoughts

C. recognize positive thoughts

D. give one positive cue with each negative cue

The LPN is receiving report on a newly admitted 14-year-old boy. He is described as being very bright and a good communicator, but his social interactions seem a bit "off." He spends much of his time playing with his baseball card collection, which he has organized in a meticulous fashion.

Given this information, which diagnosis does the nurse suspect the patient may have?

A. autism spectrum disorder

B. Asperger's syndrome

C. ADHD

D. Rett syndrome

Avulsed teeth should be placed in __________.

A. normal saline

B. cold water

C. milk

D. warm water

The ICU nurse caring for a client who has just been declared brain dead can expect to find evidence of the client's wishes regarding organ donation __________.

A. on the driver's license of the client

B. in the client's safety deposit box

C. in the client's last will and testament

D. on the client's insurance card

The physician orders the antibiotics ampicillin (Omnipen) and gentamicin (Garamycin) for a newly admitted client with an infection.

The nurse should __________.

A. administer both medications simultaneously.

B. give the medications sequentially, and flush well between them.

C. ask the physician or pharmacy which medication to give first and how long to wait before giving the other drug.

D. start one medication now and begin the other medication in 2-4 hours.

The PN is caring for a patient taking Lipitor (Atorvastatin).

Which of these statements would indicate that the patient may need reinforced teaching?

A. "I take my Lipitor and my other morning medications with my grapefruit juice at breakfast."

B. "I take my Lipitor and wait 30 minutes before taking my other medications."

C. "I take my Lipitor 30 minutes after I eat something."

D. "I take my Lipitor with a glass of milk after my breakfast."

The patient has an order for a 1,000 mL bag of fluids to be infused over 8 hours. What is the correct rate?

A. 100 mL/hr

B. 80 mL/min

C. 125 mL/hr

D. 125 mL/min

When administering intravenous electrolyte solution, the nurse should take which of the following precautions?

A. Infuse hypertonic solutions rapidly.

B. Mix no more than 80 mEq of potassium per liter of fluid.

C. Prevent infiltration of calcium, which causes tissue necrosis and sloughing.

D. As appropriate, reevaluate the client's digitalis dosage. He might need an increased dosage because IV calcium diminishes digitalis's action.

You are caring for a patient with multiple-trauma.

Of all of these injuries and conditions, it the most serious?

A. a deviated trachea

B. gross deformity of a lower extremity

C. hematuria

D. decreased bowel sounds

A nurse is caring for a patient who has recently been diagnosed with fibromyalgia and COPD.

Which of the following tasks should the nurse delegate to a nursing assistant?

A. Transferring the patient to the shower.

B. Ambulating the patient for the first time.

C. Taking the patient's breath sounds

D. Educating the patient on monitoring fatigue