NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
A young woman is admitted to the hospital complaining of severe fatigue and weakness of several weeks in duration. Her physician suspects a diagnosis of myasthenia gravis. Which additional findings would the nurse expect the client to have?
Correct Answer: B
Rationale: Myasthenia gravis causes muscle weakness, commonly manifesting as diplopia and ptosis due to ocular muscle involvement. Ataxia, slurred speech, or headaches are less typical.
Question 2 of 5
The nurse enters the room of an adult who is having a grand mal seizure. Which initial action is appropriate?
Correct Answer: C
Rationale: Turning the head to the side during a seizure prevents airway obstruction by saliva or vomit, prioritizing safety, unlike tongue blades (risk injury), restraints, or immediate physician calls.
Question 3 of 5
Fat emulsions are frequently administered as a part of total parenteral nutrition. Which statement is true regarding fat emulsions?
Correct Answer: A
Rationale: Fat emulsions provide a high energy-to-fluid-volume ratio (e.g., 2 kcal/mL for 20% solutions), making them efficient for TPN. They are isotonic and pH-neutral, not hypertonic or alkaline. Pharmacological Therapies
Question 4 of 5
The nurse is preparing to administer 40 mg of oral furosemide. Prior to administering the medication, the nurse should evaluate which parameters? Select all that apply.
Correct Answer: A,D
Rationale: Furosemide can cause hypotension and hypokalemia, so blood pressure and potassium levels must be evaluated. Blood urea nitrogen reflects kidney function but is not critical before administration, and liver enzymes and white blood cell count are unrelated.
Question 5 of 5
When performing an assessment on the client with emphysema, the nurse finds that the client has a barrel chest. The alteration in the client's chest is due to:
Correct Answer: B
Rationale: Clients with emphysema develop a barrel chest due to the trapping of air in the lungs, causing them to hyperinflate. Answers C and D are common in those with emphysema but do not cause the chest to become barrel shaped. Answer A does not occur in emphysema.