NCLEX Questions, NCLEX PN Exam Practice Test Questions, NCLEX-PN Questions, Nurselytic

Questions 163

NCLEX-PN

NCLEX-PN Test Bank

NCLEX PN Exam Practice Test Questions

Extract:


Question 1 of 5

A home health nurse visits a client with Alzheimer disease. The caregiver appears frustrated and reports that the client has been persistently restless and agitated. Which nursing action is the priority at this time?

Correct Answer: B

Rationale: Assessing for environmental triggers like noise is the priority, as it may contribute to agitation in Alzheimer's. Other actions are secondary.

Question 2 of 5

What must the nurse emphasize when teaching a client with depression about a new prescription for nortriptyline (Pamelor)?

Correct Answer: B

Rationale: Alcohol potentiates the action of tricyclic antidepressants.

Question 3 of 5

Clients taking which of the following drugs are at risk for depression?

Correct Answer: A

Rationale: Steroids. Corticosteroids can cause depression as a side effect, which may persist even after discontinuation.

Question 4 of 5

A nurse is assisting with preventive health screenings at a community health event. Which of the following client statements should the nurse recognize as a warning sign of cancer? Select all that apply.

Correct Answer: C,D,E

Rationale: A breast lump, an asymmetrical/irregular mole, and black stools are potential cancer signs (breast cancer, melanoma, gastrointestinal cancer). Seasonal cough and occasional heartburn are less concerning.

Extract:

Medication monitoring therapeutic ranges
Phenytoin
10-20 mcg/mL
(40-79 mcmol/L)
Digoxin
0.8-2 ng/mL
(1.02-2.56 nmol/L)
INR (prosthetic valve)
3-4
Lithium
0.8-1.2mEq/L
(0.8-1.2 mmol/L)


Question 5 of 5

Which of the following laboratory values requires immediate follow-up?

Correct Answer: A

Rationale: Phenytoin levels of 8 mcg/mL are subtherapeutic (therapeutic range: 10-20 mcg/mL), especially with enteral feedings that reduce absorption, requiring immediate adjustment.

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