NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
A client with a history of hypertension is prescribed hydrochlorothiazide. Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: Hydrochlorothiazide can cause hypokalemia; monitoring potassium levels is essential.
Question 2 of 5
The nurse is teaching the client about metronidazole, which has been prescribed for treating trichomoniasis. Which client comment indicates the need for additional education?
Correct Answer: B
Rationale: A. Clients may experience a metallic taste while taking metronidazole. B. Drinking alcohol while on metronidazole (Flagyl) is contraindicated. It can cause a disulfiram-like reaction with nausea, vomiting, abdominal cramps, headache, and flushing. C. Metronidazole can turn urine dark. It is important to inform clients of this. D. Nausea can occur when taking metronidazole. Taking it with food or milk may decrease GI irritation.
Question 3 of 5
A client with a history of angina is prescribed nitroglycerin tablets. Which instruction should the nurse include?
Correct Answer: A
Rationale: Taking up to three doses 5 minutes apart is the correct protocol for persistent chest pain.
Question 4 of 5
In an adult client, the nurse plans to administer 2 mL of medication I.M. Which technique is most accurate?
Correct Answer: C
Rationale: The deltoid muscle is appropriate for 2 mL IM injections in adults, using a 1-1.5" needle at a 90-degree angle for proper muscle penetration.
Question 5 of 5
A client with a history of bipolar disorder is prescribed lithium. Which laboratory value should the nurse monitor?
Correct Answer: B
Rationale: Serum lithium levels must be monitored to ensure therapeutic range (0.6–1.2 mEq/L) and prevent toxicity.