NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client with newly diagnosed breast cancer asks the nurse, 'Why me? I've always been a good person. What have I done to deserve this?' Which response by the nurse would be most therapeutic?
Correct Answer: D
Rationale: Listening, responding quickly, and providing support promote therapeutic communication. Offering to talk about the client's feelings validates those feelings and allows the client to express them. Options 1 and 2 ignore the client's feelings. Option 3 identifies the client's feelings but doesn't follow through by exploring them.
Extract:
To assess the effectiveness of a vasodilator administered to lower hypertension
Question 2 of 5
The nurse should take the client's pulse and blood pressure:
Correct Answer: B
Rationale: Checking 30 minutes post-administration assesses the drug's peak effect on blood pressure.
Extract:
Question 3 of 5
Which detail of a client's drug therapy is the nurse legally responsible for documenting?
Correct Answer: D
Rationale: The nurse legally must document the client's reaction to the drug in addition to the time the drug was administered and the dosage given. The nurse isn't legally responsible for documenting the peak concentration time of the drug, safe drug ranges, or the client's socioeconomic data.
Question 4 of 5
The nurse is preparing to administer a dose of prednisone to a client with rheumatoid arthritis. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Prednisone, a corticosteroid, can cause gastric irritation, so taking it with food minimizes GI upset. Empty stomach (
A) increases irritation, stopping abruptly (
B) risks adrenal crisis, and potassium (
D) is relevant for diuretics, not corticosteroids.
Question 5 of 5
The physician orders phenytoin (Dilantin) and phenobarbital for a client admitted with a cerebrovascular accident. The nurse knows that these drugs are administered for what purpose?
Correct Answer: A
Rationale: Phenytoin and phenobarbital are anticonvulsants used to prevent seizures, a common complication post-cerebrovascular accident. They do not promote sleep, prevent clots, or stop bleeding.