NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Ms. Wilson is a 45-year-old female presents to the clinic with unexplained weight loss, anxiety, heat intolerance and palpitations. Exams reveal mild systolic hypertension, exophthalmos, lid lag, non-pitting leg edema, and a diffusely enlarged painless thyroid gland. Lab results showed depressed TSH and borderline T3 and T4. Hyperthyroidism was confirmed.
Question 1 of 5
As a result of low levels of T3 and T4, the nurse should expect Ms. Wilson to exhibit:
Correct Answer: C
Rationale: Decreased production of thyroid hormones lowers metabolism, which leads to intolerance to cold. However, the question seems to misalign with the hyperthyroidism diagnosis; in hyperthyroidism, T3 and T4 are elevated, but the answer choices suggest hypothyroidism. Given the options, cold intolerance is the correct choice for low T3/T4.
Extract:
Question 2 of 5
A client being discharged from the cardiac step-down unit following a myocardial infarction (MI), is given a prescription for a beta-blocking drug. A nursing student asks the charge nurse why this drug would be used by a client who is not hypertensive. What is an appropriate response by the charge nurse?
Correct Answer: C
Rationale: One action of beta-blockers is to decrease systemic vascular resistance by dilating arterioles. This is useful for the client with coronary artery disease, and will reduce the risk of another MI or sudden death.
Question 3 of 5
The nurse is providing dietary instructions to a client with oxalate renal calculi. The nurse should tell the client to avoid which of the following snacks:
Correct Answer: A
Rationale: Clients with oxalate renal calculi should avoid foods high in oxalate, such as strawberries. Answers B, C, and D (cheese, chicken nuggets, and banana) are not high in oxalate and are generally safe for clients with this condition.
Question 4 of 5
A 28-year-old client is being treated with acute pelvic inflammatory disease. Which of the following positions will afford the most comfort for this client?
Correct Answer: C
Rationale: Semi-Fowler's position reduces pelvic pressure and promotes comfort in clients with pelvic inflammatory disease.
Extract:
Hypophonia:
Question 5 of 5
Hypophonia:
Correct Answer: A
Rationale: Hypophonia is reduced speech volume, often seen in Parkinson's disease.