NCLEX-PN
NCLEX Trainer Test 4 Questions
Extract:
Question 1 of 5
Lithium carbonate is prescribed for an adult. The nurse knows the client is most likely to have which condition?
Correct Answer: B
Rationale: Lithium carbonate is primarily used to stabilize mood in bipolar disorder, particularly for mania.
Question 2 of 5
A client with a peptic ulcer had a partial gastrectomy and vagotomy (Billroth I).
Correct Answer: D
Rationale:
To prevent dumping syndrome, the client should avoid large meals high in simple sugars and liquids, which can cause rapid gastric emptying. The client should recline after meals, drink fluids between meals, and reduce carbohydrate intake to stabilize digestion.
Question 3 of 5
A client who is terminally ill has been receiving high doses of an opioid analgesic for the past month. As death approaches and the client becomes unresponsive to verbal stimuli, what orders would the nurse expect from the health care provider?
Correct Answer: C
Rationale: Continue the same analgesic dosage. Dying patients who have been in chronic pain will probably continue to experience pain even though they cannot communicate their experience. Pain medication should be continued at the same dose, if effective.
Question 4 of 5
The physician has ordered Prednisone 50 mg daily to promote diuresis in a client with nephrotic syndrome. The nurse should administer the medication:
Correct Answer: B
Rationale: Prednisone, a steroid, should be given with a snack or meal to prevent gastric irritation. Answer C would cause pain and gastric upset, making it incorrect. Answers A and D do not include providing food with the medication, so they are incorrect.
Question 5 of 5
A client is being discharged following insertion of a permanent set pacemaker. A client with a permanent set pacemaker should be taught:
Correct Answer: C
Rationale: Modern pacemakers adjust their rate based on activity (rate-responsive pacing), so the client should understand that increased activity may require pacemaker adjustments.