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Best NCLEX-PN Practice Questions Questions

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Question 1 of 5

An elderly woman is admitted to the hospital with a productive cough, progressive forgetfulness, an inability to concentrate, and disinterest in her personal hygiene. What should be of greatest priority as the nurse assesses this client?

Correct Answer: D

Rationale: A productive cough is a priority as it may indicate a respiratory infection, which can be life-threatening in the elderly, requiring immediate assessment.

Question 2 of 5

The 21-year-old who has been diagnosed with polycystic ovary syndrome (PCOS) asks about changes she could make to help control her disease. Which statement is the nurse's best response?

Correct Answer: D

Rationale: A. Although an anti-inflammatory medication such as ibuprofen (Advil) may help reduce pelvic pain, this is not a lifestyle change. B. Oral contraceptives are useful in regulating the menstrual cycle for clients with PCOS and are utilized (not avoided) to treat this syndrome. C. Maintaining a monogamous sexual relationship will not impact PCOS. D. Obesity exacerbates insulin resistance and hyperinsulinemia associated with PCOS.

Question 3 of 5

The nurse is completing a health assessment of the female client with menorrhagia of unknown origin. Which serum laboratory result should the nurse carefully review?

Correct Answer: C

Rationale: A. Calcium should not be affected by menorrhagia. B. BUN should not be affected by menorrhagia. C. Persistent heavy bleeding can result in anemia, which would be reflected in the client's Hgb level. D. WBCs should not be affected by menorrhagia.

Question 4 of 5

The nurse on the pediatric unit is preparing to administer acetaminophen according to weight to the 6-year-old diagnosed with chicken pox. The recommended dose is 15 mg per kilogram. How many milligrams should the nurse give if the child weighs 54 lb?

Correct Answer: 368 mg

Rationale: Convert 54 lb to kg: 54 ÷ 2.2 = 24.55 kg. Calculate dose: 15 mg/kg × 24.55 kg = 368.25 mg, rounded to 368 mg.

Question 5 of 5

The morning after admission for withdrawal from alcohol, a client is restless, tremulous, and somewhat agitated. The nurse should take which of these actions at this time?

Correct Answer: B

Rationale: Close observation monitors for worsening withdrawal symptoms, ensuring timely intervention without unnecessary measures like restraints.

Similar Questions

The nurse is discharging the client after an elective abortion by suction curettage. Which statement should the nurse include in the client's discharge instructions?
After the nurse has had several brief conversations with a newly admitted client, the client suddenly says, 'I'm afraid to ride in an elevator; I know it's silly, but I can't help it.' Which of these responses by the nurse would be the best example of acknowledgment?
The nurse caring for a client who is receiving chemotherapy is concerned about the client's nutritional status. What should the nurse encourage the client to do?
The nurse is caring for the child who has a virulent infection. The HCP prescribes cefazolin sodium IV 50 mg every 6 hours. The Pediatric Dosage Handbook states the safe range of cefazolin is 6.25 to 25 mg per kg per day. The child weighs 18 lb. What is the most appropriate action by the nurse?
A young man who is admitted with antisocial behavior seeks the attention of a young, attractive nurse, and he finds many excuses to involve the nurse in conversation. The nurse should have which of these understandings of this situation?

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