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NCLEX PN Practice Test Questions

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Question 1 of 5

A client is receiving lithium carbonate 600 mg T.I.D. to treat bipolar disorder. Which of these indicate early signs of toxicity?

Correct Answer: B

Rationale: Vomiting, diarrhea, and lethargy are early signs of lithium toxicity.

Question 2 of 5

Spinal headaches are a common occurrence following spinal anesthesia. Which of the following nursing interventions can help prevent a spinal headache?

Correct Answer: B

Rationale: Increasing fluid intake helps maintain cerebrospinal fluid pressure, reducing the risk of spinal headaches post-spinal anesthesia.

Question 3 of 5

Prior to administering a tube feeding, the nurse obtains 50 mL of aspirant. The nurse should:

Correct Answer: B

Rationale: Replacing the aspirant prevents fluid/electrolyte loss, and feeding can proceed if pH confirms placement. Discarding aspirant risks dehydration, and holding the feeding is unnecessary unless placement is uncertain.

Question 4 of 5

The nurse is caring for a client with anorexia nervosa. Which of the following findings would be consistent with the condition? Select all that apply.

Correct Answer: B,D,E,F

Rationale: Anorexia nervosa is characterized by severe weight loss and malnutrition, leading to specific clinical findings. Amenorrhea (
B) results from hormonal imbalances due to low body fat. Lanugo (
D), fine downy hair, develops as a compensatory mechanism for heat loss. Hypokalemia (E) occurs due to starvation or purging behaviors. A BMI of 16 kg/m² (F) indicates severe underweight status, consistent with anorexia. Heat intolerance (
A) is more typical of hyperthyroidism, and avoiding physical activity (
C) is incorrect as clients often engage in excessive exercise.

Question 5 of 5

A visiting family member of a hospitalized client reports sudden onset of a headache and numbness in half of the body. The visitor asks the nurse to take a blood pressure reading. What is the most appropriate response by the nurse?

Correct Answer: B

Rationale: Sudden headache and hemibody numbness suggest a possible stroke, a medical emergency requiring immediate evaluation. Initiating protocol to transfer the visitor to the emergency department (
B) ensures timely care. Lying down (
A), taking blood pressure (
C), or calling a provider (
D) delays critical intervention.

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