NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The morning staff of an inpatient psychiatric unit has just completed the change of shift report. The nurse should give priority to assessing the client:
Correct Answer: C
Rationale: A lithium level of 1.8 mEq/L is above the therapeutic range (0.6-1.2 mEq/L) and indicates potential toxicity, requiring immediate assessment. Answer A is important but less urgent unless the hallucinations are commanding harm. Answer B is incorrect as the client is only scheduled for therapy, not in immediate danger. Answer D is within normal WBC range and less critical.
Question 2 of 5
The licensed practical nurse is making assignments for the nursing assistant. Which client should be assigned to the nursing assistant?
Correct Answer: B
Rationale: A client with total knee repair is stable and suitable for a nursing assistant's care (e.g., basic mobility, hygiene). Alzheimer's , laparotomy , and diverticulitis require more complex nursing assessments.
Extract:
Which of the following conditions indicate adrenal insufficiency in a critically ill patient?
Question 3 of 5
Hypoglycemia and hyperkalemia.
Correct Answer: A
Rationale: Due to decreased cortisol (anti-insulin) and decreased aldosterone (sodium) levels in Addison's disease, the patient experiences hypoglycemia and hyperkalemia.
Extract:
Question 4 of 5
The nurse is caring for a client with bleeding from esophageal varices. The factor that most likely contributed to the development of esophageal varices is:
Correct Answer: C
Rationale: Heavy alcohol consumption causes portal hypertension, leading to esophageal varices. Hydrocarbons , obesity , and vegetarianism are not direct causes.
Extract:
Six hours following bilateral hip replacement, an 80-year-old woman, transferred in from the Recovery Room to the Surgical Unit was observed to be confused and lethargic; VS are BP 82/56; HR 120; RR 28; skin cool and clammy; no c/o SOB; lungs sounds clear; u/o 20 ml/hour; T 36.5°C; WBC 9000.
Question 5 of 5
Based on this information, what condition appears to be developing?
Correct Answer: D
Rationale: Low blood pressure, tachycardia, and low urine output suggest hypovolemic shock, likely from postoperative bleeding.