NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is assessing a 78-year-old woman. The woman says she has some bladder discomfort and urinary frequency. She also says, 'I mind the cold so, but I don't seem to shiver. I don't have much energy these days.' Her temperature is 98.9°F, pulse is 76, respirations are 20, and blood pressure is 140/88. Which findings are of most concern to the nurse and need to be further evaluated?
Correct Answer: C
Rationale: Bladder discomfort, frequency, and fatigue may indicate a urinary tract infection or other systemic issue, requiring evaluation. Vital signs are normal, and shivering/cold sensitivity is less urgent.
Extract:
A patient is awaiting surgery for a ruptured lumbar nucleus pulposus.
Question 2 of 5
The nurse's teaching should include that the pain will most likely increase if the patient:
Correct Answer: C
Rationale: Coughing increases intrathecal pressure, exacerbating pain from a ruptured disc.
Extract:
Question 3 of 5
A patient with heart failure is prescribed furosemide (Lasix). Which of the following electrolyte imbalances should the nurse monitor for?
Correct Answer: B
Rationale: Furosemide, a loop diuretic, increases potassium excretion, leading to hypokalemia, which can cause arrhythmias. Hyperkalemia, hypernatremia, and hyponatremia are less likely with furosemide.
Question 4 of 5
The nurse is teaching a 27 year-old client with asthma about their therapeutic regime. Which statement would indicate the need for additional instruction?
Correct Answer: C
Rationale: I need to limit my exercise, especially activities such as walking and running.' Limiting physical activity in an otherwise healthy, young client should not be necessary. If exercise intolerance exists, the asthma management plan should include specific medications to treat the problem such as using an inhaled beta-agonist 5 minutes before exercise. The goal is always to return to a normal lifestyle.
Question 5 of 5
Which detail of a client's drug therapy is the nurse legally responsible for documenting?
Correct Answer: D
Rationale: The nurse legally must document the client's reaction to the drug in addition to the time the drug was administered and the dosage given. The nurse isn't legally responsible for documenting the peak concentration time of the drug, safe drug ranges, or the client's socioeconomic data.