NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
When assessing for complications of hyperparathyroidism, the nurse should monitor the patient for:
Question 1 of 5
Tetany
Correct Answer: D
Rationale: Hyperparathyroidism causes calcium release from the bones, leaving them porous and weak, leading to bone destruction.
Extract:
Question 2 of 5
A client with paranoid personality disorder monopolizes group activities with complaints that the staff is out to get him. The nurse should:
Correct Answer: D
Rationale: One of the most therapeutic actions the nurse can take with the paranoid client is to spend time with him but not challenge his delusions. Answer A would challenge his delusions and make him more convinced that he is right, so it is incorrect. Answers B and C would isolate the client and increase his paranoid thinking, so they're incorrect.
Question 3 of 5
While obtaining a health history, the nurse learns that the client is allergic to bee stings. When obtaining this client's medication history, the nurse should determine if the client keeps which medication on hand?
Correct Answer: A
Rationale: A client who is allergic to bee stings should keep diphenhydramine on hand because its antihistamine action can prevent a severe allergic reaction. Pseudoephedrine is a decongestant, which is used to treat cold symptoms. Guaifenesin is an expectorant, which is used for coughs. Loperamide is an antidiarrheal agent.
Question 4 of 5
A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?
Correct Answer: D
Rationale: Morphine can cause sphincter of Oddi spasm, worsening pancreatitis pain, and should be questioned. Meperidine is preferred, and Mylanta/cimetidine are appropriate for symptom management.
Question 5 of 5
The nurse is talking with a group of young people who are preparing to spend a weekend camping in the woods. Which information is essential to include in the discussion?
Correct Answer: A
Rationale: Long pants and sleeves prevent tick bites, reducing Lyme disease risk, a critical precaution. Sunscreen is needed, salt tablets are outdated, and poison ivy reacts quickly.