NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 331:

  Which of these actions would be least appropriate when the PN is caring for a patient with an active Digoxin IV order?

  A. Administer over at least 5 minutes.

  B. Monitor respirations during administration.

  C. Monitor EKG rhythm throughout administration.

  D. Monitor the patient's pulse for a minute prior to administration.

  Correct Answer: B

• Question 332:

  What classification of drug is Diltiazem?

  A. Beta-Blocker

  B. Calcium-Channel Blocker

  C. ACE Inhibitor

  D. NSAID

  Correct Answer: B

• Question 333:

  The patient has an order for 0.45mg Diltiazem. The medication vial has a concentration of 3 mg/mL. How many mL of the drug should be administered?

  A. 0.65 mL

  B. 1.5 mL

  C. 0.15 mL

  D. 6.6 mL

  Correct Answer: C

• Question 334:

  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

  Correct Answer: C

• Question 335:

  Which of these medications has the least risk of causing tinnitus?

  A. Aspirin

  B. Gentamicin

  C. Fluoxetine

  D. Lasix

  Correct Answer: C

• Question 336:

  The PN participates in a home visit for a patient with Type 2 Diabetes who has been taking Metformin for 3 years. The patient states that for the past 3 months, they have been trying a vegan diet and experiencing fatigue, confusion, and mood changes.

  What is a likely cause of the new symptoms?

  A. vitamin B12 deficiency

  B. vitamin D deficiency

  C. chronic hypoglycemia

  D. increased tolerance to Metformin

  Correct Answer: A

• Question 337:

  Which of these is not one of the Five Rights of Medication Administration?

  A. right dose

  B. right time

  C. right explanation

  D. right patient

  Correct Answer: C

• Question 338:

  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."

  Correct Answer: A

• Question 339:

  An allergic reaction is classified as what type of pharmacological effect?

  A. a side effect

  B. an adverse effect

  C. a therapeutic effect

  D. an incompatibility

  Correct Answer: B

• Question 340:

  The PN is taking care of a patient with a documented allergy to Penicillin. After rounds, the PN notices that the patient has an order for Cefazolin.

  Which of the following actions would be the least appropriate?

  A. The PN discusses the order with the care team prior to administering Cefazolin.

  B. The PN administers all ordered medications except for the Cefazolin.

  C. The PN clarifies the severity of the Penicillin allergy.

  D. The PN monitors the patient after a test dose of Cefazolin is administered.

  Correct Answer: B