NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A 7-year-old boy is in the hospital with Reye's syndrome. He has been ill for two weeks with the flu. He ran high fevers and was treated with four baby aspirin alternating with 325-mg chewable Tylenol and sponge baths to control the fever. He also had a rash on his body that was itchy, and his mother used lotion and Benadryl to control the itching. Besides history of the flu, which factor in his history is associated with development of Reye's syndrome?
Correct Answer: C
Rationale: Aspirin use in children with viral infections, like the flu, is strongly linked to Reye's syndrome, a rare but serious condition affecting the liver and brain.
Question 2 of 5
A client admits to benzodiazepine dependence for several years. She is now in an outpatient detoxification program. The nurse must understand that a priority during withdrawal is
Correct Answer: A
Rationale: Central nervous system depressants interact with alcohol. The client will gradually reduce the dosage, under the health care provider's direction. During this time, alcohol must be avoided.
Extract:
Fluid shift occurs immediately following the onset of burn.
Question 3 of 5
Nursing assessment indicating fluid shift include:
Correct Answer: B
Rationale: Delayed capillary refill is evident due to lack of volume and oxygen, indicating fluid shift post-burn.
Extract:
Question 4 of 5
A child at school trips on a shoe lace and falls. Her ankle swells immediately, and the child is in a great deal of pain. What is the best initial action for the nurse to take?
Correct Answer: C
Rationale: Elevation and ice reduce swelling and pain in acute ankle injuries, following RICE (rest, ice, compression, elevation) principles.
Extract:
Therapy for Valerie who has Addison's disease is aimed chiefly at
Question 5 of 5
dietary supplements to increase the potassium level.
Correct Answer: C
Rationale: Lack of mineralcorticoids causes hyponatremia, hypovolemia, and hyperkalemia. Dietary modification and administration of cortical hormones are aimed at correcting these electrolyte imbalances.