NCLEX Questions, PN NCLEX Practice Exam Questions, NCLEX-PN

Extract:

Question 1 of 5

The nurse is assessing a client in the emergency room. Which statement suggests that the problem is acute angina?

Correct Answer: A

Rationale: My pain is deep in my chest behind my breast bone. This describes the typical substernal pain of acute angina.

Question 2 of 5

Which nursing diagnosis is most appropriate for a client who has Cushing's syndrome?

A. Risk for injury related to osteoporosis B. Pain related to cold intolerance C. Risk for deficient fluid volume related to excessive loss of sodium and water secondary to polyuria D. Risk for injury related to postural hypotension

Correct Answer: A

Rationale: Cushing's syndrome causes cortisol excess, leading to osteoporosis and increased fracture risk, making 'Risk for injury related to osteoporosis' the most appropriate diagnosis.

Question 3 of 5

A client with chronic heart failure is being discharged home on furosemide and supplementary potassium chloride tablets. Which instructions related to the potassium supplement should the nurse reinforce to the client?

A. A diet rich in protein and vitamin D will help with absorption. B. If the tablet is too large to swallow, crush and take it in applesauce or pudding. C. Potassium tablets should be taken on an empty stomach. D. Take it with plenty of water and sit upright for a period of time afterward.

Correct Answer: D

Rationale: Potassium chloride tablets should be taken with water and the client should remain upright to prevent esophageal irritation or ulceration (
D). Protein and vitamin D (
A) do not enhance absorption, crushing tablets (
B) can cause irritation, and taking on an empty stomach (
C) is unnecessary.

Question 4 of 5

Which of the following are violations of the Health Insurance Portability and Accountability Act regarding confidentiality of privileged health information? Select all that apply.

A. A pregnancy result is given to a husband without the wife's permission B. The client overhears, through a privacy curtain, the nurse call report on someone C. The nurse calls the client by first and last name in the public waiting room D. The nurse tells the transporting tech that the client has breast cancer E. Unlicensed assistive personnel tell the discharged client, 'You take care now.'

Correct Answer: A,C,D

Rationale: Sharing pregnancy results without consent (
A), calling names publicly (
C), and disclosing a diagnosis to non-care staff (
D) violate HIPAA. Overhearing through a curtain (
B) is unintentional, and a general farewell (E) is not a violation.

Question 5 of 5

The nurse is caring for a client who was recently prescribed methadone for chronic, severe back pain. The client indicates taking extra tablets in the last 6 hours when the pain recurred. Which findings during discharge require the client to be monitored longer in the hospital setting? Select all that apply.

A. Falls asleep when the nurse is talking B. Frequently scratches from pruritus C. Has third emesis since taking medication D. Monitor shows occasional premature ventricular contractions E. Pulse oximetry reading is 92%

Correct Answer: A,C,D

Rationale: Falling asleep (
A), vomiting (
C), and premature ventricular contractions (
D) indicate possible methadone overdose or toxicity, requiring extended monitoring. Pruritus (
B) is a common side effect, and 92% oxygen saturation (E) is not critical.

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Extract:

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

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