NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Chlorpromazine hydrochloride (Thorazine) is prescribed for a young adult with schizophrenia. For three days, the chlorpromazine (Thorazine) is to be administered intramuscularly. Before administering chlorpromazine (Thorazine) intramuscularly to the client, the nurse should make which of these assessments?
Correct Answer: A
Rationale: Chlorpromazine can cause orthostatic hypotension, so checking blood pressure before intramuscular administration ensures safety.
Question 2 of 5
A young woman has admitted herself to the psychiatric unit for treatment of Valium addiction. A schedule of drug withdrawal is ordered by the doctor. Which of the following may the nurse expect to see as the Valium dose is decreased?
Correct Answer: B
Rationale: Benzodiazepine withdrawal, such as from Valium, commonly causes tremors and hyperactivity due to central nervous system excitation.
Question 3 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 4 of 5
A 17-year-old female receives treatment for primary amenorrhea caused by hyperthyroidism. Which finding during a clinic visit should indicate to the nurse that treatment for amenorrhea was effective?
Correct Answer: C
Rationale: A. An increased weight may help with initiating a menstrual cycle if the cause is a body fat composition of less than 10%, but this does not indicate that the woman has started her menstrual cycle. B. If the client is not menstruating (amenorrhea), she will not have menstrual cramps. C. Hyperthyroidism and a body fat composition of less than 10% can be contributing factors to amenorrhea (absence of menses). The start of a menstrual cycle indicates that treatment of the underlying cause of amenorrhea is effective. D. The absence of a fine hand tremor may indicate treatment is effective for the hyperthyroidism. It does not indicate that the primary amenorrhea is resolved.
Question 5 of 5
Two nights after admission for alcohol withdrawal, the client runs out of her room. She is confused and disoriented and says, 'Let me out of here. Bugs are crawling all over that room.' The nurse should take which of these actions?
Correct Answer: D
Rationale: Hallucinations during alcohol withdrawal indicate delirium tremens, requiring immediate medical attention and supervision for safety.