NCLEX Questions, NCLEX Practice Questions PN Questions, NCLE

Extract:

Question 1 of 5

A client with Addison's disease will most likely exhibit which symptom?

Correct Answer: B

Rationale: A bronze pigmentation is a sign of Addison's disease. Answers A, C, and D are symptoms of Cushing's syndrome, making them incorrect.

Question 2 of 5

The nurse is reinforcing teaching for a client with atrial fibrillation who has a new prescription for warfarin. Which of the following statements by the client would require follow-up?

A. I will avoid taking over-the-counter aspirin.' B. I must avoid consuming green, leafy vegetables such as spinach and kale.' C. I should avoid consuming any caffeinated products.' D. I will talk with my health care provider before taking any nutritional supplements.'

Correct Answer: B

Rationale: Avoiding all green leafy vegetables (
B) is incorrect; consistent intake is needed to maintain stable INR. Avoiding aspirin (
A), caffeine (
C), and consulting about supplements (
D) are correct.

Question 3 of 5

A client is admitted to the emergency room following an acute asthma attack. Which of the following assessments would be expected by the nurse?

A. Diffuse expiratory wheezing B. Loose, productive cough C. No relief from inhalant D. Fever and chills

Correct Answer: A

Rationale: In asthma, the airways are narrowed, creating difficulty getting air in. A wheezing sound results.

Question 4 of 5

A client with borderline personality disorder says to the nurse, 'You're the only one I trust around here. The others don't know what they are doing and they don't care about anyone except themselves. I only want to talk with you.' What is the priority nursing action?

A. Assign different staff members to care for the client each day B. Assign the client's stated preferred nurse to care for the client C. Reassure the client that all staff members are competent in their jobs D. Reinforce unit guidelines and appropriate boundaries with the client

Correct Answer: D

Rationale: Reinforcing boundaries (
D) addresses splitting behavior and maintains therapeutic relationships. Rotating staff (
A), assigning the preferred nurse (
B), or reassuring competence (
C) may reinforce manipulation.

Extract:

Laboratory reference ranges
Glucose (fasting)
70-110 mg/dL
(3.9-6.1 mmol/L)
Potassium
3.5-5 mEq/L
(3.5-5 mmol/L)

Question 5 of 5

The nurse is administering prescribed medications to assigned clients. The nurse should hold and seek clarification for which scheduled administrations? Select all that apply.

A. client with cirrhosis had 2 stools today, lactulose prescribed daily B. client receiving IV vancomycin; mild facial flushing noted after 30 minutes C. client scheduled for abdominal surgery tomorrow; vitamin E PO prescribed daily D. client prescribed lisinopril PO daily; serum potassium level is 5.6 mEq/L (5.6 mmol/L) E. client with diabetes mellitus has insulin glargine and aspart prescribed, AM glucose is 100 mg/dL (5.6 mmol/L)

Correct Answer: B, C, D

Rationale: Vancomycin flushing (
B) suggests red man syndrome, vitamin E (
C) increases bleeding risk pre-surgery, and hyperkalemia (
D) contraindicates lisinopril. Lactulose (
A) and insulin (E) are appropriate.

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Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

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Question 5 of 5

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