NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The client is admitted to the unit with a potassium level of $2.4 \mathrm{meq} / \mathrm{L}$. The client with a potassium level of $2.4 \mathrm{meq} / \mathrm{L}$ would exhibit symptoms of:
Correct Answer: B
Rationale: Hypokalemia (low potassium, 2.4 meq/L) causes symptoms like U waves on ECG, muscle weakness, and cramps. Peaked T waves occur in hyperkalemia. Muscle rigidity is not typical, and rapid respirations are more associated with acid-base imbalances.
Question 2 of 5
A client with coronary artery disease was discharged home with a prescription for sublingual nitroglycerin to treat angina. Which statement by the client indicates that further teaching is required?
Correct Answer: D
Rationale: Delaying 911 after three doses (
D) is dangerous; clients should call after no relief from the first dose or after three doses (5 minutes apart). Flushing (
A), lying down (
B), and not swallowing (
C) are correct.
Question 3 of 5
The nurse is caring for a woman who has internal radiation for cancer of the cervix. Which of the following situations poses the greatest risk for others?
Correct Answer: A
Rationale: Prolonged close contact (daughter's hours-long visit) increases radiation exposure risk. Brief visits, tray setup, or mopping pose minimal risk.
Question 4 of 5
The nurse is preparing to administer IV furosemide to a client with chronic kidney disease. The nurse should administer the medication slowly to prevent
Correct Answer: B
Rationale: Rapid IV furosemide can cause ototoxicity (
B) in CKD patients due to drug accumulation. Oliguria (
A) is already present, and furosemide does not typically cause bradycardia (
C) or hypertension (
D).
Question 5 of 5
A client complains of some discomfort after a below the knee amputation. Which action by the nurse is most appropriate initially?
Correct Answer: B
Rationale: Ensure that the stump is elevated the first day post-op. This priority intervention prevents pressure caused by pooling of blood, thus minimizing the pain. Without this measure, a firm elastic bandage, opioid narcotics, or guided imagery will have little effect. Opioid narcotics are given for severe pain.