NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A client is receiving an I.V. infusion of mannitol (Osmitrol) after undergoing intracranial surgery to remove a brain tumor. To determine whether this drug is producing its therapeutic effect, the nurse should consider which finding the most significant?
Correct Answer: C
Rationale: The therapeutic effect of mannitol is diuresis, which is confirmed by an increased urine output. A decreased LOC and elevated blood pressure may indicate lack of therapeutic effectiveness. A decreased heart rate doesn't indicate that mannitol is effective.
Extract:
The physician orders high protein, high calorie and high salt diet on Valerie.
Question 2 of 5
When ask by the patient, the nurse would explain that
Correct Answer: D
Rationale: Lack of mineralcorticoids (aldosterone) leads to a loss of sodium ions in the urine and subsequent hyponatremia, necessitating a high salt diet.
Extract:
A 35-year-old male has been an insulin-dependent diabetic for five years and now is unable to urinate.
Question 3 of 5
Which of the following would you most likely suspect?
Correct Answer: C
Rationale: Autonomic neuropathy can impair bladder function, causing urinary retention in long-term diabetes.
Extract:
Loss of peripheral vascular resistance:
Question 4 of 5
Loss of peripheral vascular resistance:
Correct Answer: A
Rationale: Loss of peripheral vascular resistance leads to hypotension due to vasodilation.
Extract:
The importance of monitoring blood sugar, activity level, and insulin doses is to
Question 5 of 5
adjust the activity level based on the blood sugar level.
Correct Answer: B
Rationale: If a patient injects too much insulin, exercises too much in relation to carbohydrate consumed, or does not eat enough or at the appropriate times, the blood glucose level can fall low enough to cause hypoglycemia. Adjusting diet and insulin doses based on activity level helps maintain balance.