NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
A client with tuberculosis has been receiving INH as part of the chemotherapeutic therapy protocol.
Question 1 of 5
During a subsequent clinic visit the nurse should recognize that prompt intervention is required when the client develops
Correct Answer: A
Rationale: Yellow sclera indicates jaundice, a sign of INH-induced hepatotoxicity requiring immediate intervention.
Extract:
When assessing an individual with a spontaneous pneumothorax, there is a danger of mediastinal shift.
Question 2 of 5
Mediastinal shift is described as:
Correct Answer: A
Rationale: Mediastinal shift involves tracheal deviation to the unaffected side due to pressure imbalance.
Extract:
While working on his motor bike, a 19-year-old sustains a puncture wound from a rusty metal. He presents himself to the ER of local hospital. The puncture wound is cleansed with hydrogen peroxide and a sterile dressing applied. The client confirmed that he is up-to-date with his tetanus immunization. Antibiotic was prescribed and administered and the client was sent home with instructions to return if there is any change in the wound area. Three days following the ER visit, the client is admitted to the hospital with a diagnosis of tetanus.
Question 3 of 5
Nursing care for client includes:
Correct Answer: A
Rationale: The slightest stimulation sets off a wave of very severe and painful muscle spasms involving the whole body. Admitting the client to a private room minimizes stimuli and reduces the risk of spasms.
Extract:
Question 4 of 5
Which laboratory result would concern the nurse caring for a client who is receiving furosemide (Lasix)?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, can cause hypokalemia. A potassium level of 2.5 mEq/L is critically low and concerning, risking arrhythmias. Sodium 140, glucose 110, and calcium 8 are within normal ranges.
Question 5 of 5
The parents of a toddler ask the nurse how long their child will have to sit in a car seat while in the automobile. What is the nurse's best response to the parents?
Correct Answer: A
Rationale: Your child must use a car seat until he weighs at least 40 pounds.' Children should use car seats until they weigh 40 pounds.