NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of Addison's disease is prescribed hydrocortisone. Which symptom indicates the need for dose adjustment?
Correct Answer: B
Rationale: Hypotension in Addison's disease suggests inadequate cortisol replacement, indicating the need for a hydrocortisone dose adjustment.
Question 2 of 5
A client with a history of type 2 diabetes is prescribed metformin. Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Metformin can rarely cause lactic acidosis, a life-threatening condition, especially in clients with renal impairment, requiring careful monitoring.
Question 3 of 5
A client with a history of schizophrenia is prescribed risperidone. Which side effect should the nurse monitor for?
Correct Answer: A
Rationale: Risperidone can cause extrapyramidal symptoms, such as tremors or rigidity, due to dopamine blockade, requiring monitoring.
Question 4 of 5
A client with a history of hyperthyroidism is prescribed methimazole. Which side effect should the nurse teach the client to report?
Correct Answer: B
Rationale: Sore throat may indicate agranulocytosis, a rare but serious side effect of methimazole, requiring immediate reporting.
Question 5 of 5
A client with pneumonia is receiving intravenous antibiotics. Which assessment finding suggests the treatment is effective?
Correct Answer: A
Rationale: A decreased white blood cell count indicates the body is responding to antibiotics by reducing the inflammatory response to infection.