NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
A chemical reaction between drugs prior to their administration or absorption is known as:
Correct Answer: A
Rationale: Drug incompatibility refers to chemical reactions between drugs before administration, like precipitation in IV lines. Side effects, adverse events, and allergic responses occur post-administration. Pharmacological Therapies
Question 2 of 5
The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:
Correct Answer: B
Rationale: The neck veins should be assessed for distension in the client with congestive heart failure. Edema of the feet and hands does not indicate central circulatory overload, so answers A and C are incorrect. Edema of the sacrum is an indication of right-sided congestive heart failure, so answer D is incorrect.
Question 3 of 5
Medication bound to protein can have which of the following effects?
Correct Answer: C
Rationale: Protein-bound drugs are less available for receptor binding, reducing their therapeutic effect until unbound. This does not enhance availability, speed distribution, or increase metabolism directly. Pharmacological Therapies
Question 4 of 5
Diuretic therapy for hypertension often necessitates the addition of high-potassium foods in the client's diet. Which of the following diuretics does not require the client to increase his intake of potassium?
Correct Answer: A
Rationale: Spironolactone is a potassium-sparing diuretic, so clients do not need to increase potassium intake, unlike loop or thiazide diuretics.
Question 5 of 5
The nurse is caring for a woman who is HIV positive. The woman starts her period. There is menstrual blood on the floor. What substance should the nurse use to clean up the floor?
Correct Answer: A
Rationale: Chlorine bleach is the best product for cleaning blood spills, as HIV can be present in menstrual blood, requiring a disinfectant effective against bloodborne pathogens.