NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Mr. Smith is 67-year-old black male brought to the hospital by his wife, who stated that he fell down 20 minutes ago and has been unable to speak or move his right side since then. Mr. Smith has no significant past medical history. On exam, Mr. Smith is conscious, very anxious, his speech is garbed and unintelligible, he has a left facial droop, and he is completely right hemiphlegic.
Question 1 of 5
The most likely etiology for his symptoms is:
Correct Answer: A
Rationale: Mr. Smith has all the classic symptoms of a stroke or cerebrovascular accident (CV
A). Although he had a fall, traumatic brain injury is less likely given he maintained consciousness.
Extract:
Question 2 of 5
An adult is admitted to a detoxification unit for withdrawal from alcohol. Which medication does the nurse expect will be ordered for the client upon admission?
Correct Answer: A
Rationale: Thiamin (vitamin B1) prevents Wernicke's encephalopathy, a common complication in alcohol withdrawal due to deficiency.
Question 3 of 5
A client with polysubstance abuse has been admitted to the hospital for detoxification. Which of the following drugs represents the most serious life-threatening situation during the withdrawal period?
Correct Answer: B
Rationale: Secobarbital, a barbiturate, poses the most serious risk during withdrawal, as it can lead to life-threatening seizures and delirium. Methadone and heroin withdrawal are uncomfortable but less likely to be fatal, and cocaine withdrawal is primarily psychological.
Question 4 of 5
The nurse is caring for a client with a deep vein thrombosis (DVT) who is receiving heparin therapy. Which of the following laboratory values should the nurse monitor closely?
Correct Answer: B
Rationale: Heparin’s anticoagulant effect is monitored via aPTT, with a therapeutic range of 1.5–2.5 times the control value to ensure effective DVT treatment without bleeding risk. PT/INR (A,
C) monitor warfarin, and platelet count (
D) is monitored for heparin-induced thrombocytopenia but is secondary.
Question 5 of 5
A nurse is preparing to administer 250 mg of acetaminophen PO to a child. The medication is available as 160 mg/5 mL. How many mL should the nurse administer?
Correct Answer: B
Rationale: 250 mg ÷ 160 mg/5 mL = 7.8125 mL, rounded to 7.8 mL. Other options are incorrect.