NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A patient with heart failure is prescribed furosemide (Lasix). Which of the following electrolyte imbalances should the nurse monitor for?
Correct Answer: B
Rationale: Furosemide, a loop diuretic, increases potassium excretion, leading to hypokalemia, which can cause arrhythmias. Hyperkalemia, hypernatremia, and hyponatremia are less likely with furosemide.
Question 2 of 5
The parents of a child with tetralogy of Fallot ask the nurse why it is called a cyanotic heart defect. The nurse responds that it is called a cyanotic heart defect because:
Correct Answer: C
Rationale: Tetralogy of Fallot causes right-to-left shunting, allowing deoxygenated blood to enter systemic circulation, leading to cyanosis, the hallmark of this defect.
Question 3 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.
Extract:
You are asked to see Mr. J, a 45-year-old male admitted to the medical floor. He has a temperature of 103°F, complains of urgency, frequency, and perineal pain. He states his urine is somewhat cloudy in appearance. Mr. K denies any trauma to the genital area. On physical assessment, Mr. J appears acutely ill, flank tenderness is negative to percussion, abdominal assessment is unrevealing. Rectal exam reveals a tender prostate.
Question 4 of 5
You anticipate all of the following to be ordered except:
Correct Answer: D
Rationale: The patient's symptoms are suggestive of prostatitis, likely infectious. PSA is not typically ordered in acute infection as it is more relevant for prostate cancer screening.
Extract:
Question 5 of 5
Which of the following observations is most important when assessing a client's breathing?
Correct Answer: C
Rationale: Ensuring the presence and adequacy of breathing is critical to assess effective oxygenation. Pulse rate and position are secondary considerations. Physiological Adaptation