NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with end-stage renal disease received a renal transplant 2 weeks ago. Which of the following is an early sign of rejection of the transplant?
Correct Answer: B
Rationale: Early signs of renal transplant rejection include tenderness over the graft site, fever, and decreased urine output due to impaired kidney function. Increased urinary output is not associated with rejection, and while hypertension may occur, it is not a specific early sign.
Question 2 of 5
Observation should be ordered for the client using hallucinogens because, hallucinogens
Correct Answer: B
Rationale: Hallucinogens cause altered perception, posing risks of harm due to impaired judgment, necessitating close observation. They do not typically cause respiratory depression or rapid dependence.
Question 3 of 5
A client with newly diagnosed type I diabetes mellitus is being seen by the home health nurse. The physician orders include: 1,200-calorie ADA diet, 15 units of NPH insulin before breakfast, and check blood sugar qid. When the nurse visits the client at 5 PM, the nurse observes the man performing a blood sugar analysis. The result is 50 mg/dL. The nurse would expect the client to be
Correct Answer: A
Rationale: A blood sugar of 50 mg/dL indicates hypoglycemia (normal 70–110 mg/dL), causing symptoms like confusion, cold, clammy skin, and tachycardia (pulse 110). Hyperglycemia (
B) causes hot, dry skin and Kussmaul respirations, normal findings (
C) are unlikely, and fluid overload (
D) is unrelated.
Extract:
Danielle Knetchel, 32 years old, experiences diarrhea after eating in the restaurant. She went to the clinic and the physician prescribed anti-diarrheal drug, a narcotic that causes dryness of the mouth.
Question 4 of 5
Which of the following drugs was given to Danielle?
Correct Answer: D
Rationale: Lomotil, a narcotic antidiarrheal, causes dry mouth as a side effect.
Extract:
Question 5 of 5
A client diagnosed with an ulcer has been placed on tetracycline due to a positive helicobacter pyloric test result. Which food choice, when taken with the drug, could decrease its effectiveness?
Correct Answer: B
Rationale: Milk and dairy products can reduce the effectiveness of the drug when taken at the same time. Answers A, C, and D would not affect the drug, so they're incorrect.