NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client has gastroesophageal reflux. Which recommendation made by the nurse would be most helpful to the client?
Correct Answer: D
Rationale: Avoid eating 2 hours before going to sleep. Eating before sleeping enhances the regurgitation of stomach contents, which have increased acidity, into the esophagus. An upright posture should be maintained for about 2 hours after eating to allow for the stomach emptying. Options A and C are interventions for clients with swallowing difficulties.
Question 2 of 5
The nurse is preparing to administer a dose of warfarin (Coumadin) to a client with atrial fibrillation. The client’s INR is 4.5. The nurse should
Correct Answer: B
Rationale: An INR of 4.5 (therapeutic range: 2–3 for atrial fibrillation) indicates over-anticoagulation, increasing bleeding risk, so the dose should be held and the physician notified. Administering (
A) or reducing (
C) is unsafe, and vitamin K (
D) requires a physician order.
Question 3 of 5
The nurse is caring for a client with a history of Parkinson’s disease who is prescribed levodopa-carbidopa (Sinemet). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: High-protein meals can interfere with levodopa absorption, so avoiding them with doses improves efficacy. Taking on an empty stomach (
A) is ideal but not mandatory, vitamin B6 (
C) enhances metabolism (reducing effect), and stopping for dizziness (
D) requires physician consultation.
Question 4 of 5
The nurse is caring for a client with bleeding from esophageal varices. The factor that most likely contributed to the development of esophageal varices is:
Correct Answer: C
Rationale: Heavy alcohol consumption causes portal hypertension, leading to esophageal varices. Hydrocarbons , obesity , and vegetarianism are not direct causes.
Extract:
This is a 45-year-old patient who lost large amount of blood due to gunshot wound (GSW) on the thigh and abdomen. The patient develops hypotension while receiving transfusion.
Question 5 of 5
Which of the following other symptoms, if seen in this patient, would be most significant in terms of realizing that a potential complication is occurring?
Correct Answer: B
Rationale: Back pain in a blood transfusion reaction indicates kidney involvement, a significant complication requiring immediate attention.