NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, 'I need this surgery because nothing else I have done has helped me to lose weight.' Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: Respecting the client's informed decision for surgery demonstrates empathy and professionalism. The other responses are judgmental or dismissive of her situation. Physiological Adaptation
Question 2 of 5
The nurse notes an abrupt onset of confusion in an elderly patient. Which of the following recently-ordered medications would most likely contribute to this change?
Correct Answer: C
Rationale: Antihistamine. Elderly people are susceptible to the side effect of anticholinergic drugs, such as antihistamines. Antihistamines often cause confusion in the elderly, especially at high doses.
Question 3 of 5
A client receiving aminophylline complains of nausea and 'feeling jittery.' The nurse's first action should be to:
Correct Answer: D
Rationale: Nausea and jitteriness suggest aminophylline toxicity, so checking the drug level is the priority. Other actions address symptoms, not the cause.
Question 4 of 5
A client with a history of seizures is prescribed phenytoin (Dilantin) 100 mg tid. The nurse should instruct the client to
Correct Answer: B
Rationale: Alcohol can lower phenytoin levels, increasing seizure risk, so avoidance is critical. Taking with meals (
A) is unnecessary, calcium (
C) is unrelated, and stopping for a rash (
D) requires physician consultation due to potential Stevens-Johnson syndrome.
Extract:
The patient with DM is for discharged.
Question 5 of 5
The nurse who makes home care plan will take which one as priority?
Correct Answer: A
Rationale: Glucose monitoring is the priority to manage diabetes and prevent complications.