NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Valerie, 37 years old, enters the hospital with symptoms of Addison's disease. She relates that she was taking cortisone pill for her contact dermatitis, but they bothered her stomach so she quit taking them. On admission Valerie's vital signs are: BP was 80/60; HR 115; RR 24. Laboratory results include a sodium level 128 mEq/L; potassium 5.5 mEq/L.
Question 1 of 5
Hypotension in Addison's disease involves a disturbance in the production of
Correct Answer: D
Rationale: Mineralcorticoids such as aldosterone cause the kidneys to retain sodium ions. With sodium, water is also retained, elevating blood pressure. Absence of this hormone causes hypotension.
Extract:
Bonnie and 4-year-old daughter moved to a new apartment. Two days after the move the girl became ill and was taken to the ER. Lead poisoning was suspected (plumbism). Lead was possibly inhaled from the fresh paint in the apartment.
Question 2 of 5
The nurse is aware that lead can fatally affect the
Correct Answer: B
Rationale: Lead is inhaled and deposited in bone marrow, blocking the formation of RBC, but it can seriously affect the central nervous system (CNS), leading to fatal consequences.
Extract:
Question 3 of 5
A 9-year old is admitted with suspected rheumatic fever. Which finding is suggestive of Sydenham's chorea?
Correct Answer: A
Rationale: Sydenham's chorea, a manifestation—of rheumatic fever, causes irregular movements and facial grimacing. Other options describe rheumatoid arthritis or other conditions.
Question 4 of 5
The nurse is caring for a man who has radiation pellets in his mouth for mouth cancer. The nurse discovers one of the pellets in the sheets. What should the nurse do initially?
Correct Answer: B
Rationale: Using forceps to place the pellet in a lead-lined container minimizes radiation exposure safely. Checking the mouth, client handling, or calling first delays containment.
Extract:
A 14-year-old patient with a diagnosis of gonorrhea requested you not to tell her parents about the disease.
Question 5 of 5
How will you respond?
Correct Answer: B
Rationale: Confidentiality is maintained for minors in sensitive diagnoses like STIs, unless there's a legal requirement to disclose.