NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
In a client who's predisposed to bipolar disorder, a bipolar episode might be triggered by:
Correct Answer: A
Rationale: Hypothyroidism might trigger a bipolar episode in a client predisposed to bipolar disorder. Episodes aren't known to be triggered by hyperglycemia, hypertension, or antiseizure medications.
Extract:
Priority nursing diagnosis on the patient who was admitted with acute renal failure
Question 2 of 5
Priority nursing diagnosis on the patient who was admitted with acute renal failure would be:
Correct Answer: C
Rationale: Fatigue due to altered nutrition is a priority in acute renal failure as it reflects metabolic imbalances and nutritional deficits.
Extract:
Question 3 of 5
A client is receiving an I.V. infusion of mannitol (Osmitrol) after undergoing intracranial surgery to remove a brain tumor. To determine whether this drug is producing its therapeutic effect, the nurse should consider which finding the most significant?
Correct Answer: C
Rationale: The therapeutic effect of mannitol is diuresis, which is confirmed by an increased urine output. A decreased LOC and elevated blood pressure may indicate lack of therapeutic effectiveness. A decreased heart rate doesn't indicate that mannitol is effective.
Question 4 of 5
The nurse is caring for an adult who has ulcerative colitis. When planning care, the nurse knows that which nursing diagnosis is of highest priority?
Correct Answer: A
Rationale: Ulcerative colitis causes diarrhea, leading to fluid loss and dehydration, making deficient fluid volume the highest priority to prevent systemic complications like hypovolemia.
Extract:
A patient has been receiving a cardiac glycoside, a diuretic, and a vasodilator and is on bedrest. The patient's apical pulse rate is 44.
Question 5 of 5
The nurse concludes that this pulse rate is most likely a result of the:
Correct Answer: D
Rationale: Cardiac glycosides like digoxin can cause bradycardia, especially at a pulse of 44.