NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
One aspect of implementation related to drug therapy is:
Correct Answer: B
Rationale: Although documentation isn't a step in the nursing process, the nurse is legally required to document activities related to drug therapy, including the time of administration, the quantity, and the client's reaction. Developing a content outline, establishing outcome criteria, and setting realistic client goals are parts of planning rather than implementation.
Question 2 of 5
A client who has ulcerative colitis is receiving prednisone. The nurse knows the primary reason the client is receiving prednisone is to:
Correct Answer: A
Rationale: Prednisone, a corticosteroid, suppresses bowel inflammation in ulcerative colitis, reducing symptoms like diarrhea and bleeding. It does not affect peristalsis, acid, or bacteria directly.
Question 3 of 5
A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, 'I need this surgery because nothing else I have done has helped me to lose weight.' Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: Respecting the client's informed decision for surgery demonstrates empathy and professionalism. The other responses are judgmental or dismissive of her situation. Physiological Adaptation
Question 4 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.
Question 5 of 5
A patient is prescribed prednisone for an inflammatory condition. Which of the following side effects should the nurse monitor for?
Correct Answer: C
Rationale: Prednisone, a corticosteroid, increases blood glucose, causing hyperglycemia, especially in diabetics. Hypoglycemia, weight loss, and hypotension are not typical side effects.