NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
What is elevated in the laboratory result to a patient with cystitis?
Question 1 of 5
Hemoglobin
Correct Answer: B
Rationale: Leukocyte casts in urine indicate inflammation, common in cystitis.
Extract:
Therapy for Valerie who has Addison's disease is aimed chiefly at
Question 2 of 5
dietary supplements to increase the potassium level.
Correct Answer: C
Rationale: Lack of mineralcorticoids causes hyponatremia, hypovolemia, and hyperkalemia. Dietary modification and administration of cortical hormones are aimed at correcting these electrolyte imbalances.
Extract:
When talking with a patient who has been diagnosed as having myasthenia gravis, the nurse observes that the patient has:
Question 3 of 5
When talking with a patient who has been diagnosed as having myasthenia gravis, the nurse observes that the patient has:
Correct Answer: B
Rationale: Myasthenia gravis causes muscle weakness, often leading to difficulty swallowing (dysphagia).
Extract:
Question 4 of 5
The nurse notes an abrupt onset of confusion in an elderly patient. Which of the following recently-ordered medications would most likely contribute to this change?
Correct Answer: C
Rationale: Antihistamine. Elderly people are susceptible to the side effect of anticholinergic drugs, such as antihistamines. Antihistamines often cause confusion in the elderly, especially at high doses.
Question 5 of 5
The nurse is preparing to boost a client up in bed. She instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?
Correct Answer: D
Rationale: Using a trapeze reduces shearing forces (opposing forces that cause layers of skin to move over each other, stretching and tearing capillaries and, eventually, resulting in necrosis), which increase the risk of pressure ulcer development. They can occur as clients slide down in bed or when they're pulled up in bed.
To reduce shearing forces, the nurse should instruct the client to use an overbed trapeze, place a draw sheet under the client to move the client up in bed, and keep the head of the bed no higher than 30 degrees. The risks of friction, impaired circulation, and localized pressure aren't decreased with trapeze use.