NCLEX Questions, NCLEX-PN Free Practice Questions Questions, NCLEX-PN Questions, Nurselytic

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NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Free Practice Questions Questions

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Question 1 of 5

A hospitalized client asks the nurse for 'something for pain.' Which information is most important for the nurse to gather before administering the medication? Select all that apply:

Correct Answer: A,B,C,D,F

Rationale: The nurse needs to know when the last dose was administered. Some clients request pain medication earlier than is ordered by the physician. Pain, the fifth vital sign, should be assessed using a pain scale and documented in the nursing notes whenever a pain medication is given. Pain is usually reassessed about 30 minutes after the medication is given. Physicians commonly order several different types of pain medication based on the client's condition. The nurse should know which medication and which route was used to administer prior dosages. Evaluating the effectiveness of medications is also an important nursing function when managing the client's pain.
Therefore, she should ask the client if the prior dose was helpful. The nurse should also note whether the client experienced any adverse effects of the medication. Most medications are ordered based on the client's admission weight, not current weight and height. A client's weight may fluctuate when he's in the hospital, so it's unlikely that the nurse will have the most current weight available. Also, taking steps to obtain the client's current weight postpones the pain treatment and can potentially worsen pain.

Question 2 of 5

A teenage client is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?

Correct Answer: B

Rationale: Acetaminophen is metabolized in the liver, and overdose can cause severe liver damage or failure. The other organs are not primarily affected by acetaminophen overdose. Pharmacological Therapies

Question 3 of 5

The home care nurse is instructing a client recently diagnosed with tuberculosis. It is MOST important for the nurse to include which of the following as a part of the teaching plan?

Correct Answer: D

Rationale: Adherence to a 6–9-month medication regimen is critical for curing tuberculosis and preventing resistance. Respiratory precautions (
A) are needed for 2–4 weeks, masks (
B) are not always required, and family support (
C) is secondary to treatment adherence.

Question 4 of 5

The clinic nurse is discussing health promotion with a group of parents. A mother is concerned about Reye's Syndrome, and asks about prevention. Which of these demonstrates appropriate teaching?

Correct Answer: D

Rationale: The link between aspirin use and Reye’s Syndrome has not been confirmed, but evidence suggests that the risk is sufficiently grave to include the warning on aspirin products.

Question 5 of 5

A nurse is caring for a 37-year-old woman with metastatic ovarian cancer admitted for nausea and vomiting. The physician orders total parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of the following is the BEST indication that the patient's nutritional status has improved after 4 days?

Correct Answer: C

Rationale: Albumin levels are the best indicator of long-term nutritional status, reflecting protein stores. A level of 4.0 mg/dL (normal range 3.5–5.0 g/dL) suggests improved nutrition after TPN. Eating more (
A) is subjective, weight gain (
B) may reflect fluid retention, and low hemoglobin (
D) is unrelated to nutrition and more likely due to cancer or chemotherapy.

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