NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A client receiving aminophylline complains of nausea and 'feeling jittery.' The nurse's first action should be to:
Correct Answer: D
Rationale: Nausea and jitteriness suggest aminophylline toxicity, so checking the drug level is the priority. Other actions address symptoms, not the cause.
Question 2 of 5
An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?
Correct Answer: D
Rationale: Fear of reprisal or further violence is a common barrier preventing elderly clients from reporting abuse, due to dependency on the abuser or fear of consequences. The other options are less relevant. Psychosocial Integrity
Question 3 of 5
While assessing a pre-op client, the nurse learns that the client is allergic to shellfish. How might this data affect the client's surgical experience?
Correct Answer: B
Rationale: Shellfish allergy indicates potential iodine sensitivity, which may require altering the skin preparation (e.g., avoiding iodine-based solutions like Betadine).
Question 4 of 5
An adult is admitted with arteriosclerosis obliterans. Which finding would the nurse most expect to see in this client?
Correct Answer: D
Rationale: Arteriosclerosis obliterans reduces arterial blood flow, causing cool extremities, especially in the legs. Swelling is more related to venous issues, cold-induced hand pain suggests Raynaud's, and BP is unrelated.
Question 5 of 5
A client wearing corrective lenses has a visual acuity of 20/200. The nurse recognizes that the client:
Correct Answer: B
Rationale: The client whose vision is corrected to 20/200 is by definition legally blind because he is able to see at 20 feet what the healthy eye can see at 200 feet. Answer A refers to a refractive error, which is corrected by eyeglasses or one of the laser procedures. Answer C is an inability to focus on near objects due to a loss of elasticity of the lens and is corrected by the use of bifocal eye glasses. Answer D does not apply because the client would experience difficulty with vision at night or in dim lighting. Answers A, C, and D are incorrect because they do not explain what is meant by a visual acuity of 20/200.