NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
An adult who has been well controlled on phenytoin (Dilantin) reports having had several seizures recently. Which comment made by the client is probably related to seizure activities?
Correct Answer: C
Rationale: Alcohol consumption (Happy Hour) can lower the seizure threshold, reducing phenytoin's effectiveness, likely causing seizures, unlike exercise, job changes, or ibuprofen.
Question 2 of 5
The wife of a man who is diagnosed with angina pectoris asks the nurse how she would know if her husband had a heart attack rather than angina. What should the nurse include in the reply?
Correct Answer: A
Rationale: Myocardial infarction causes severe chest pain unresponsive to nitroglycerin, unlike angina, which typically resolves. Epigastric pain, arm radiation, or activity triggers are less definitive.
Question 3 of 5
The nurse is preparing medication for 4 clients on a respiratory medical-surgical unit. Which situation would prompt the nurse to clarify the prescribed treatment with the health care provider?
Correct Answer: A
Rationale: Acetylcysteine is used for mucus thinning, not bronchospasm, which requires bronchodilators. The other medications are appropriate for their respective conditions.
Question 4 of 5
Clients taking which of the following drugs are at risk for depression?
Correct Answer: A
Rationale: Steroids. Corticosteroids can cause depression as a side effect, which may persist even after discontinuation.
Question 5 of 5
Which of the following should the nurse obtain from a client prior to having electroconvulsive therapy (ECT)?
Correct Answer: D
Rationale: Pre-anesthesia work-up. ECT is delivered under general anesthesia and the client should be prepared as for any procedure involving anesthesia.