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
A patient is prescribed levothyroxine (Synthroid) for hypothyroidism. Which of the following instructions should the nurse include in the teaching plan?
Correct Answer: C
Rationale: Levothyroxine is best absorbed on an empty stomach, ensuring efficacy. Food or milk reduces absorption, and bedtime dosing is less critical than morning administration.
Question 3 of 5
A 76-year-old man living at the long-term care facility has lost 10 lb in the last two months. He states that although he has had dentures for two years, they have not felt comfortable for the past three or four months so he rarely uses them at mealtime. The nurse's first priority would be to ask the client's physician to do which of the following?
Correct Answer: B
Rationale: A dental consult addresses ill-fitting dentures, the root cause of weight loss, prioritizing correction to improve nutrition.
Question 4 of 5
A client with moderate pregnancy-induced hypertension (PIH) is a poor candidate for regional anesthesia during labor and delivery. If she were to receive this form of anesthesia, she might experience:
Correct Answer: A
Rationale: In a client with PIH, uteroplacental perfusion may be inadequate and gas exchange may be poor. Regional anesthesia increases the risk of hypotension resulting from sympathetic blockade, possibly causing fetal and maternal hypoxia. Hypertension, seizures, and renal toxicity aren't associated with regional anesthesia.
Question 5 of 5
The nurse is teaching a client with non-insulin dependent diabetes mellitus about the prescribed diet. The nurse should teach the client to
Correct Answer: D
Rationale: Currently, calorie-controlled diets with strict meal plans are rarely suggested for clients who have diabetes. A regular schedule of meals and snacks helps maintain stable blood glucose levels.