NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse in the emergency department is caring for a client who is experiencing an acute exacerbation of asthma. Which of the following medications should the nurse expect to administer?
Correct Answer: A
Rationale: Nebulized albuterol, a short-acting beta-agonist, rapidly relieves bronchospasm in acute asthma exacerbations. Montelukast is for maintenance, methylprednisolone is slower-acting, ipratropium is secondary, and salmeterol is long-acting, not for acute relief.
Question 2 of 5
Which client should the nurse call first?"
Correct Answer: C
Rationale: Itching in a new cast may indicate skin irritation or an allergic reaction, requiring prompt assessment to prevent complications. Stiffness in a fracture or unresolved fibromyalgia pain are less urgent.
Question 3 of 5
A client experiences post partum hemorrhage eight hours after the birth of twins. Following administration of IV fluids and 500 ml of whole blood, her hemoglobin and hematocrit are within normal limits. She asks the nurse whether she should continue to breast feed the infants. Which of the following is based on sound rationale?
Correct Answer: A
Rationale: Stimulation of the breast during nursing releases oxytocin, which contracts the uterus, reducing the risk of further bleeding.
Question 4 of 5
An elderly client with a history of stable chronic obstructive pulmonary disease, alcohol abuse, and cirrhosis has a serum theophylline level of 25.8 mcg/mL (143 umol/L). Which clinical manifestation associated with theophylline toxicity should worry the nurse most?
Correct Answer: D
Rationale: Theophylline has narrow therapeutic index and plasma concentrations >20 mcg/mL (111 umol/L) are associated with theophylline drug toxicity.
Toxicity can be acute or chronic. Conditions associated with chronic toxicity include advanced age (>60), drug interactions (eg, alcohol, macrolide and quinolone antibiotics), and liver disease. Acute toxicity is associated with intentional or accidental overdose. Symptoms of toxicity usually manifest as central nervous system stimulation (eg, headache, insomnia, seizures), gastrointestinal disturbances (eg, nausea, vomiting), and cardiac toxicity (eg, arrhythmia).
Question 5 of 5
The nurse is caring for a client with left ventricular heart failure. Which one of the following assessments is an early indication of inadequate oxygen transport?
Correct Answer: B
Rationale: Confusion and restlessness. Neurological changes, including impaired mental status, are early signs of inadequate oxygenation.