NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A 15-month-old child with Hirschsprung's disease comes for a checkup. The mother reports all of the following. Which indicates a need for more instruction?
Correct Answer: A
Rationale: Limiting physical activity is unnecessary and may hinder development in Hirschsprung's disease; enemas, low-residue diet, and stool softeners are appropriate for managing constipation.
Question 2 of 5
A client with polysubstance abuse has been admitted to the hospital for detoxification. Which of the following drugs represents the most serious life-threatening situation during the withdrawal period?
Correct Answer: B
Rationale: Secobarbital, a barbiturate, poses the most serious risk during withdrawal, as it can lead to life-threatening seizures and delirium. Methadone and heroin withdrawal are uncomfortable but less likely to be fatal, and cocaine withdrawal is primarily psychological.
Question 3 of 5
The nurse is reviewing a client's pre-op lab values. Which of the following lab results warrants immediate attention?
Correct Answer: A
Rationale: A prothrombin time of 1 minute and 20 seconds is significantly prolonged, indicating a bleeding risk that requires immediate attention before surgery.
Question 4 of 5
The nurse is caring for a client with a history of depression who is prescribed fluoxetine (Prozac). The client reports feeling 'jittery' and restless. The nurse should
Correct Answer: C
Rationale: Jitteriness and restlessness are signs of akathisia, a side effect of fluoxetine, requiring physician notification for possible dose adjustment or additional medication. Lorazepam (
A) is inappropriate without orders, activity (
B) may worsen symptoms, and bedtime dosing (
D) doesn’t address the issue.
Question 5 of 5
Which instruction should be included in the discharge teaching for a client with cataract surgery?
Correct Answer: B
Rationale: Wearing an eye shield at night protects the surgical site from accidental trauma during sleep, a standard post-cataract surgery instruction.