NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A woman has just started receiving external radiation therapy. When the nurse enters the client's room, she notes that the client is scrubbing the area vigorously with soap and water. When asked about her actions, the woman replies that she is trying to get rid of the ugly purple marks. What is the best action for the nurse at this time?
Correct Answer: A
Rationale: Radiation marks guide precise targeting; explaining their necessity prevents removal and ensures effective treatment.
Question 2 of 5
Prochlorperazine maleate (Compazine) 10 mg IM has been ordered for a client. The client is also to receive Stadol 2 mg IM. Before administering these medications, the nurse should
Correct Answer: C
Rationale: Compazine (prochlorperazine) is incompatible with most medications, including Stadol (butorphanol), in the same syringe, as mixing may cause precipitation or reduced efficacy. Drawing them in separate syringes ensures safe administration. Monitoring vital signs (
A) is less critical, dilution (
B) is inappropriate, and verifying the route (
D) is unnecessary as IM is specified.
Extract:
The patient is taking antidepressant drug, Elavil. The spouse of the patient complains that the dosage of the drug needs to be increased because no improvement is noted. The patient has been taking the drug for the last 3 days and no improvement is noted.
Question 3 of 5
The most appropriate nursing response would be:
Correct Answer: B
Rationale: Elavil, a tricyclic antidepressant, typically takes 3–4 weeks to show therapeutic effects.
Extract:
Question 4 of 5
The client presents to the clinic with a serum cholesterol of 275 mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client?
Correct Answer: A
Rationale: The client taking antilipidemics should be encouraged to report muscle weakness because this is a sign of rhabdomyolysis. The medication takes effect within one month of beginning therapy, so answer B is incorrect. The medication should be taken with water. Fruit juice, particularly grapefruit juice, can decrease the drug's effectiveness, so answer C is incorrect. Liver function studies, not a CBC, should be checked prior to beginning the medication, so answer D is incorrect.
Extract:
The incidence of spinal cord defects/ neural tube defects such as meningomyelocele
Question 5 of 5
The incidence of spinal cord defects/ neural tube defects such as meningomyelocele has decreased because
Correct Answer: B
Rationale: Folic acid supplementation reduces neural tube defects by supporting neural tube closure.