NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Besides acute glomerulonephritis, a sequela of Streptococcus infection would be:
Question 1 of 5
Nephritic syndrome
Correct Answer: C
Rationale: Rheumatic fever is an inflammatory disease involving the joints, heart, CNS, and subcutaneous tissue, believed to be an autoimmune process triggered by Streptococcus infection.
Extract:
Question 2 of 5
A client wearing corrective lenses has a visual acuity of 20/200. The nurse recognizes that the client:
Correct Answer: B
Rationale: The client whose vision is corrected to 20/200 is by definition legally blind because he is able to see at 20 feet what the healthy eye can see at 200 feet. Answer A refers to a refractive error, which is corrected by eyeglasses or one of the laser procedures. Answer C is an inability to focus on near objects due to a loss of elasticity of the lens and is corrected by the use of bifocal eye glasses. Answer D does not apply because the client would experience difficulty with vision at night or in dim lighting. Answers A, C, and D are incorrect because they do not explain what is meant by a visual acuity of 20/200.
Extract:
Venous return:
Question 3 of 5
Venous return:
Correct Answer: A
Rationale: Venous return refers to deoxygenated blood returning to the heart via veins.
Extract:
Question 4 of 5
The client is admitted to the hospital with a hypertensive crisis. Diazoxide (Hyperstat) is ordered. During administration the nurse should:
Correct Answer: B
Rationale: Hyperstat is given IV push for hypertensive crisis. It often causes hyperglycemia. The glucose level will drop rapidly after the medication is administered. Answer A is incorrect because this medication is given IV push. The client should be placed in dorsal recumbent position, not Trendelenburg, so answer C is incorrect. Answer D is incorrect because the medication is ordered IV push.
Question 5 of 5
The nurse is monitoring the fluid status of a 63-year-old woman receiving IV fluids following surgery. Which of the following symptoms would suggest to the nurse that the patient has fluid volume overload?
Correct Answer: B
Rationale: Fluid volume overload is characterized by symptoms such as bounding pulse, elevated blood pressure, respiratory crackles (due to pulmonary edema), distended neck veins, edema, headache, polyuria, diarrhea, and liver enlargement.
Choice B includes respiratory crackles and a bounding pulse, which are hallmark signs.
Choice A suggests dehydration, choice C could have other causes, and choice D shows normal CVP and unrelated nystagmus.