NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
A client begins a regimen of chemotherapy. Her platelet counts falls to 98,000. Which action is least likely to increase the risk of hemorrhage?
Correct Answer: C
Rationale: Reverse isolation protects against infection but does not affect hemorrhage risk. The other actions directly reduce bleeding risk by detecting or preventing trauma to tissues. Physiological Adaptation
Question 2 of 5
A client is admitted with suspected pheochromocytoma. The physiological alteration associated with pheochromocytoma is:
Correct Answer: A
Rationale: Pheochromocytoma causes catecholamine release, leading to extreme hypertension . Rash , iris flecks , and nasolabial creases are not associated.
Question 3 of 5
The most suitable diet for the client with Meniere's disease is:
Correct Answer: B
Rationale: A low sodium diet and nicotinic acid have been shown to be effective in reducing the symptoms of Meniere's disease. Answers A, C, and D are incorrect because they do not relieve the symptoms of Meniere's disease.
Question 4 of 5
A client with chronic kidney disease has an arteriovenous fistula placed in the left wrist for hemodialysis. Which of the following statements indicate that the client understands how to care for the fistula properly? Select all that apply.
Correct Answer: B,D,E
Rationale: Avoiding sleeping on the arm prevents pressure on the fistula, squeezing a sponge promotes circulation, and feeling for a thrill ensures patency. Numbness/tingling requires evaluation, and blood pressure should be taken on the opposite arm to avoid fistula damage.
Question 5 of 5
The nurse is reviewing dietary teaching with a client who has chronic kidney disease. Which of the following statements by the client would indicate a correct understanding of the teaching? Select all that apply.
Correct Answer: D
Rationale: Using herbs instead of salt reduces sodium intake, which is critical in chronic kidney disease to manage fluid retention and blood pressure. Salt substitutes often contain potassium, which is restricted; raisins, bran, and milk are high in potassium or phosphorus; and peanut butter and crackers are high in sodium and phosphorus.