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NCLEX PN Practice Test Questions

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Question 1 of 5

A client with gout who was started on allopurinol a week ago calls the health care provider’s office with several concerns. The nurse should recognize which report by the client as being significant and requiring immediate follow-up?

Correct Answer: C

Rationale: A rash (
C) may indicate a hypersensitivity reaction to allopurinol, potentially progressing to severe conditions like Stevens-Johnson syndrome, requiring immediate follow-up. Ibuprofen (
A), urination (
B), and nausea (
D) are less urgent.

Question 2 of 5

The nurse is caring for a client who has a single-chamber atrial pacemaker. Which of the following findings would the nurse expect to observe on the client’s electrocardiogram strip?

Correct Answer: B

Rationale: A single-chamber atrial pacemaker paces the atrium, producing a spike before the P wave (
B), followed by normal conduction. Spikes on T waves (
A) are abnormal, wide QRS (
C) suggests ventricular issues, and prolonged PR (
D) is unrelated to pacing.

Question 3 of 5

The nurse should recognize that physical dependence is accompanied by what findings when alcohol consumption is first reduced or ended?

Correct Answer: B

Rationale: Withdrawal. Early withdrawal symptoms, including nausea and tremor, appear within hours of reducing alcohol intake.

Question 4 of 5

Which statements involve acceptable use of an abbreviation, symbol, or dose designation in documentation? Select all that apply.

Correct Answer: A

Rationale: Metric units (
A), decimal doses (
C), and QID (E) are clear and acceptable. 'u' (
B) risks confusion with '0,' and 'pc' with 'c/o' (
D) are ambiguous, per safety standards.

Question 5 of 5

The nurse reinforces teaching about self-management strategies for a client with urge incontinence. Which of the following statements indicate that teaching has been effective? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Weight loss (
A) reduces bladder pressure, oxybutynin’s dry mouth side effect (
B) is correct, Kegel exercises (
D) strengthen pelvic floor muscles, and scheduled voiding (E) prevents urgency. Caffeine (
C) irritates the bladder, worsening incontinence, indicating ineffective teaching.

Similar Questions

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The practical nurse on the mental health unit is planning care with the registered nurse. Which client should be seen first?
Priorities to be considered intermediate are:
The nurse is drawing blood from a client's peripheral vein for laboratory specimens. Which of the following are correct nursing actions? Select all that apply.

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