NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
If a patient comes into facility with muscle weakness, where should you focus your physical assessment?
Question 1 of 5
If a patient comes into facility with muscle weakness, where should you focus your physical assessment?
Correct Answer: B
Rationale: Muscle strength assessment directly evaluates the extent and distribution of weakness.
Extract:
Question 2 of 5
Prochlorperazine maleate (Compazine) 10 mg IM has been ordered for a client. The client is also to receive Stadol 2 mg IM. Before administering these medications, the nurse should
Correct Answer: C
Rationale: Compazine (prochlorperazine) is incompatible with most medications, including Stadol (butorphanol), in the same syringe, as mixing may cause precipitation or reduced efficacy. Drawing them in separate syringes ensures safe administration. Monitoring vital signs (
A) is less critical, dilution (
B) is inappropriate, and verifying the route (
D) is unnecessary as IM is specified.
Question 3 of 5
The nurse is caring for a client with a history of diverticulitis. Which of the following dietary recommendations should the nurse provide to prevent flare-ups?
Correct Answer: C
Rationale: A high-fiber diet promotes regular bowel movements and reduces pressure in the colon, preventing diverticulitis flare-ups. Nuts and seeds (
A) may irritate diverticula, a low-fiber diet (
B) worsens symptoms, and dairy restriction (
D) is unnecessary unless lactose intolerant.
Question 4 of 5
A nurse is administering metoprolol (Lopressor) to a patient with hypertension. Which of the following assessments is most important before administering this medication?
Correct Answer: A
Rationale: Metoprolol, a beta-blocker, lowers blood pressure and heart rate, so assessing blood pressure prevents hypotension or bradycardia. Respiratory rate, temperature, and oxygen saturation are less critical.
Question 5 of 5
The nurse is caring for a client with a history of bipolar disorder who is prescribed lithium. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Lithium can cause hyponatremia, and monitoring serum sodium ensures safe levels (therapeutic lithium range: 0.6–1.2 mEq/L). Glucose (
B), calcium (
C), and hemoglobin (
D) are not directly affected by lithium therapy.