NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The client presents to the clinic with a serum cholesterol of 275 mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client?
Correct Answer: A
Rationale: The client taking antilipidemics should be encouraged to report muscle weakness because this is a sign of rhabdomyolysis. The medication takes effect within one month of beginning therapy, so answer B is incorrect. The medication should be taken with water. Fruit juice, particularly grapefruit juice, can decrease the drug's effectiveness, so answer C is incorrect. Liver function studies, not a CBC, should be checked prior to beginning the medication, so answer D is incorrect.
Extract:
A patient has been receiving a cardiac glycoside, a diuretic, and a vasodilator and is on bedrest. The patient's apical pulse rate is 44.
Question 2 of 5
The nurse concludes that this pulse rate is most likely a result of the:
Correct Answer: D
Rationale: Cardiac glycosides like digoxin can cause bradycardia, especially at a pulse of 44.
Extract:
Question 3 of 5
A client with retinal detachment of the right eye has a scleral buckling with instillation of silicone oil. Post-operatively the client should be positioned:
Correct Answer: D
Rationale: Following a scleral buckling with instillation of silicone oil or gas, the client should be positioned prone with the head turned so that the operative eye is facing upward. Answers A, B, and C would displace the oil and prevent it from enhancing a seal between the retina and choroid.
Question 4 of 5
A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client's record, the nurse could expect to find:
Correct Answer: C
Rationale: Antisocial personality disorder is associated with a history of cruelty to animals , reflecting disregard for others. Consistent employment and remorse are unlikely. Intelligence is typically average or above.
Question 5 of 5
A client with dumping syndrome should ___ while a client with GERD should ___
Correct Answer: B
Rationale: Lying down after eating slows gastric emptying, reducing dumping syndrome symptoms. Sitting up prevents acid reflux in GERD. The other combinations are incorrect for these conditions. Basic Care and Comfort