NCLEX Practice Test PN
Question 1 of 5.
Extract:Intake and output record Time Oral intake Parenteral intake Output 0700 180 mL juice 0800 1 L 0.9% sodium chloride IV 150 mL liquid stool 1000 75 mL vancomycin 1200 240 mL tea 250 mL metronidazole IV 1500 360 mL water 1600 1300 mL urine from collection bag
The nurse is calculating a client's intake and output for the shift. How many mL should the nurse record as the client's net fluid balance? Record your answer using a whole number.
Answer: 655 mL
Explanation: 1. Intake: Oral: 180 + 240 + 360 = 780 mL IV: 1000 + 75 + 250 = 1325 mL Total Intake = 780 + 1325 = 2105 mL 2. Output: Stool: 150 mL Urine: 1300 mL Total Output = 1450 mL 3. Net Balance: 2105 − 1450 = 655 mL net positive balance
Question 2 of 5.
The nurse hears another staff member talking in a crowded elevator about a client on the unit. The client is identified by name and details of illness. What action should the practical nurse take at this time?
A. Report the behavior to the head nurse
B. Report the behavior if it happens again
C. Interrupt the conversation in the elevator
D. Speak to the staff member when he/she gets off the elevator
Explanation: Speaking to the staff member privately after the elevator ride addresses the HIPAA violation discreetly, promoting education and correction without immediate escalation.
Question 3 of 5.
The mother of a 4-month-old infant calls the physician's office reporting that her child has a temperature of 101°F and a rash that is blanchable and doesn't itch. What does the LPN expect will be ordered for this child?
A. Aspirin
B. Ibuprofen
C. Acetaminophen
D. Antibiotics
Explanation: Acetaminophen is safe for fever in infants, addressing the temperature while the non-itchy, blanchable rash is monitored, likely viral.
Question 4 of 5.
A client who has Type 1 diabetes mellitus is admitted for alcohol detoxification. A moderate sliding scale for insulin is ordered. How often should the nurse expect to take glucose levels?
A. Every time medication is administered
B. When the client is symptomatic
C. Before meals and at bedtime
D. Every two hours
Explanation: Sliding scale insulin for Type 1 diabetes requires glucose checks before meals and at bedtime to adjust dosing, ensuring glycemic control.
Question 5 of 5.
The physician has recommended that an adult male be scheduled for a left heart catheterization. The client asks the nurse what a cardiac catheterization is for. What information should be included when responding to this client?
A. During a left heart catheterization, the coronary arteries can be visualized.
B. During a left heart catheterization, holes in the heart walls can be detected.
C. During a left heart catheterization, blood flow to the lungs can be measured.
D. During a left heart catheterization, oxygen levels in the chambers of the heart are measured.
Explanation: Left heart catheterization visualizes coronary arteries to assess for blockages, aiding in diagnosing coronary artery disease.
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