NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client is receiving chemotherapy for cancer and develops thrombocytopenia. What should the nurse include in the client's plan of care because of the thrombocytopenia?
Correct Answer: C
Rationale: Thrombocytopenia increases bleeding risk; avoiding injections prevents hematomas or hemorrhage. Positioning, fluid limits, or exercise don't address bleeding risk.
Question 2 of 5
The nurse is caring for a client with a new order for bupropion (Wellbutrin) for treatment of depression. The order reads 'Wellbutrin 175 mg. HD x 4 days.' What is the appropriate action?
Correct Answer: B
Rationale: Bupropion (Wellbutrin) should be started at 100 mg BD for three days then increased to 150 mg BD. When used for depression, it may take up to four weeks for results. Common side effects are dry mouth, headache, and agitation. Doses should be administered in equally spaced time increments throughout the day to minimize the risk of seizures.
Extract:
To assess the effectiveness of a vasodilator administered to lower hypertension
Question 3 of 5
The nurse should take the client's pulse and blood pressure:
Correct Answer: B
Rationale: Checking 30 minutes post-administration assesses the drug's peak effect on blood pressure.
Extract:
Question 4 of 5
The nurse is preparing to administer digoxin (Lanoxin) 0.25 mg IV to a client with congestive heart failure. Before administering the medication, the nurse should
Correct Answer: A
Rationale: Digoxin can cause bradycardia, so checking the apical pulse (holding if <60 bpm) is critical to prevent toxicity. Verifying the dose (
B) is good practice but secondary, administering over 5 minutes (
C) is correct but not pre-administration, and digoxin levels (
D) are checked periodically, not before each dose.
Question 5 of 5
The nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse prioritize?
Correct Answer: B
Rationale: Ensuring the endotracheal tube is secure prevents accidental extubation, maintaining airway and ventilation. ABGs (
A), sedatives (
C), and settings (
D) are important but secondary to airway security.