NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Physical findings commonly seen in hypothyroidism include:
Question 1 of 5
Physical findings commonly seen in hypothyroidism include:
Correct Answer: A
Rationale: Coarse hair and brittle nails are typical in hypothyroidism due to slowed metabolism.
Extract:
Question 2 of 5
A 76-year-old client is admitted to a long-term care facility with Alzheimer's-type dementia. The client has been wearing the same dirty clothes for several days. The nurse contacts the family and asks them to bring in clean clothing. Which intervention would best prevent further regression in the client's personal hygiene?
Correct Answer: A
Rationale: Clients with Alzheimer's-type dementia tend to fluctuate in their capabilities. Encouraging self-care to the extent possible helps increase the client's orientation and promotes a trusting relationship with the nurse. Making the client assume responsibility for physical care is unreasonable. Assigning a staff member to take over the client's physical care restricts the client's independence. Accepting the client's desire to go without bathing promotes poor hygiene.
Question 3 of 5
A client received six units of regular insulin three hours ago. The nurse would be MOST concerned if which of the following was observed?
Correct Answer: C
Rationale: Regular insulin peaks in 2–4 hours, and the symptoms in choice C (diaphoresis and trembling) are classic signs of hypoglycemia, a potential complication at this time. Hypoglycemia requires immediate intervention, such as administering skim milk or glucose.
Choice A indicates hyperglycemia (Kussmaul respirations), and choices B and D are not specific to hypoglycemia.
Question 4 of 5
The nurse is assessing the client's vital signs and notes that the client is breathing very noisily. The nurse describes this pattern of breathing as:
Correct Answer: D
Rationale: Stertorous breathing is loud, snoring-like, often due to airway obstruction. Hyperpnea is deep breathing, Cheyne-Stokes is cyclic, and orthopnea is positional dyspnea.
Question 5 of 5
The client's mother contacts the clinic regarding medication administration stating, 'My daughter can't swallow this capsule. It's too large.' Investigation reveals that the medication is a capsule marked SR. The nurse should instruct the mother to:
Correct Answer: C
Rationale: SR (sustained release) capsules cannot be opened or crushed, as this alters their release mechanism. The pharmacist should be contacted for an alternative formulation.