NCLEX-PN
Practice NCLEX PN Questions Questions
Extract:
Question 1 of 5
A woman is being seen in the physician's office for a medical complaint. When she is called to see the physician, she goes to the restroom and washes her hands over and over, missing her allotted time with the physician. How should the nurse deal with this woman?
Correct Answer: B
Rationale: Advance warning accommodates possible OCD, allowing hand washing within a timeframe, ensuring she sees the physician. Sending home, interrupting, or forcing choices is less effective.
Question 2 of 5
Diltiazem (Cardizem) 90 mg qid is prescribed for an adult who has angina. Which statement by the client indicates a need for further instruction?
Correct Answer: C
Rationale: Diltiazem is not typically withheld based on heart rate alone unless specified; this indicates a need for clarification on administration instructions.
Question 3 of 5
The nurse would expect the cystic fibrosis client to receive supplemental pancreatic enzymes along with a diet
Correct Answer: A
Rationale: High in carbohydrates and proteins. This diet supports energy needs and compensates for malabsorption in cystic fibrosis.
Question 4 of 5
A client with metabolic acidosis associated with diabetes mellitus is admitted to the unit. A blood glucose of $250 \mathrm{mg} / \mathrm{dl}$ is present. Which symptom will most likely accompany ketoacidosis?
Correct Answer: B
Rationale: Diabetic ketoacidosis (DK
A) causes dehydration due to hyperglycemia, leading to polydipsia (excessive thirst). Oliguria may occur later, perspiration is not specific, and tremors are more associated with hypoglycemia.
Question 5 of 5
An older adult client is to receive an antibiotic, gentamicin. What diagnostic finding indicates the client may have difficulty excreting the medication?
Correct Answer: B
Rationale: An elevated serum creatinine indicates reduced renal function. Reduced renal function will delay the excretion of many medications.