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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Free Questions

Extract:


Question 1 of 5

A nurse is documenting care provided to a patient. Which of the following entries is most appropriate?

Correct Answer: B

Rationale: Stating 'pain is 4/10' is objective, specific, and measurable, meeting documentation standards. Other entries are vague and lack clinical detail, reducing their utility.

Question 2 of 5

When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?

Correct Answer: D

Rationale: Unexplained vaginal bleeding is a contraindication for hormone replacement therapy due to potential underlying pathology like endometrial cancer. The other options are not absolute contraindications. Health Promotion and Maintenance

Question 3 of 5

The nurse is assessing a client with suspected appendicitis. Which of the following findings would support this diagnosis?

Correct Answer: A

Rationale: Pain at McBurney’s point (right lower quadrant) is a classic sign of appendicitis, indicating peritoneal irritation. Epigastric burning (
B) suggests ulcers, loose stools (
C) indicate gastroenteritis, and pain relief lying flat (
D) is nonspecific.

Extract:

Binu is a 45-year-old female patient who is admitted with a diagnosis of acute depression. She has history of inability to deal with her divorce.


Question 4 of 5

The nurse would expect that one of the following drugs will be ordered for the patient which is:

Correct Answer: A

Rationale: Elavil (amitriptyline), a tricyclic antidepressant, is commonly used for depression.

Extract:


Question 5 of 5

A client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should the nurse assess first?

Correct Answer: D

Rationale: The nurse should assess the client's cardiac rhythm using electrocardiography because an elevated serum potassium level may lead to a life-threatening cardiac arrhythmia. The client's blood pressure may change, but only as a result of the arrhythmia.
Therefore, the nurse should assess blood pressure later. The nurse also can delay assessing respirations and temperature because these aren't affected by the serum potassium level.

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