NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A nurse is teaching a patient about the use of an incentive spirometer. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Inhaling slowly and deeply through the mouthpiece maximizes lung expansion and prevents atelectasis. Forceful exhalation is incorrect, use is routine (not symptom-based), and holding breath is optional but not primary.
Question 2 of 5
The nurse is preparing to administer a dose of digoxin (Lanoxin) to a client with heart failure. The client’s apical pulse is 56 beats per minute. The nurse should
Correct Answer: B
Rationale: Digoxin can cause bradycardia, and a pulse below 60 bpm warrants holding the dose and notifying the physician to prevent toxicity. Administering (
A) or reducing (
C) is unsafe, and rechecking (
D) delays intervention.
Question 3 of 5
The nurse is caring for a client with a new order for bupropion (Wellbutrin) for treatment of depression. The order reads 'Wellbutrin 175 mg. HD x 4 days.' What is the appropriate action?
Correct Answer: B
Rationale: Bupropion (Wellbutrin) should be started at 100 mg BD for three days then increased to 150 mg BD. When used for depression, it may take up to four weeks for results. Common side effects are dry mouth, headache, and agitation. Doses should be administered in equally spaced time increments throughout the day to minimize the risk of seizures.
Question 4 of 5
An adult is being admitted with possible pneumonia. His history indicates he had a tonsillectomy as a child and tuberculosis 10 years ago, which was arrested. Which room assignment is most appropriate?
Correct Answer: A
Rationale: A private room minimizes TB reactivation risk, as arrested TB may still pose a low transmission risk, prioritizing safety.
Question 5 of 5
A 15-month-old child with Hirschsprung's disease comes for a checkup. The mother reports all of the following. Which indicates a need for more instruction?
Correct Answer: A
Rationale: Limiting physical activity is unnecessary and may hinder development in Hirschsprung's disease; enemas, low-residue diet, and stool softeners are appropriate for managing constipation.