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NCLEX Practice Questions PN Questions

Extract:


Question 1 of 5

The nurse is caring for a client who has bacterial meningitis. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A, B, C

Rationale: Minimizing stimuli (
A), seizure precautions (
B), and elevating the head (
C) reduce complications in meningitis. Masks (
D) are unnecessary, and negative pressure rooms (E) are for airborne diseases.

Question 2 of 5

The nurse is caring for a client with leukemia who is receiving the drug doxorubicin (Adriamycin). Which, if occurred, would be reported to the charge nurse immediately due to the toxic effects of this drug?

Correct Answer: A

Rationale: This drug can cause cardiotoxicity exhibited by changes in the ECG and congestive heart failure. Rales and distended neck veins are clinical manifestations of congestive heart failure, so answer A is correct. A reddish discoloration to the urine is a harmless side effect, so answer B is incorrect. An elevated BUN and dry, flaky skin are not specific to this drug, so answers C and D are incorrect.

Question 3 of 5

The nurse is reinforcing teaching for a client with bipolar disorder who has a new prescription for lithium. Which of the following statements by the client would require follow-up?

Correct Answer: B

Rationale: Ibuprofen (
B) can increase lithium toxicity, requiring follow-up. Adequate fluid intake (
A), consistent sodium (
C), and periodic level checks (
D) are correct.

Question 4 of 5

The nurse is preparing to obtain a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter that was inserted 2 days ago. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Using a sterile syringe at the specimen port (
A) ensures a clean sample. Balloon port (
B), drainage bag (
C), or 24-hour collection (
D) risk contamination.

Extract:

Laboratory reference ranges
Glucose (fasting)
70-110 mg/dL
(3.9-6.1 mmol/L)
Potassium
3.5-5 mEq/L
(3.5-5 mmol/L)


Question 5 of 5

The nurse is administering prescribed medications to assigned clients. The nurse should hold and seek clarification for which scheduled administrations? Select all that apply.

Correct Answer: B, C, D

Rationale: Vancomycin flushing (
B) suggests red man syndrome, vitamin E (
C) increases bleeding risk pre-surgery, and hyperkalemia (
D) contraindicates lisinopril. Lactulose (
A) and insulin (E) are appropriate.

Similar Questions

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The nurse reinforces teaching about methotrexate to a client with rheumatoid arthritis. It is most important to address which topic regarding this drug?
A client is admitted to the emergency room following an acute asthma attack. Which of the following assessments would be expected by the nurse?
The client with COPD may lose weight despite having adequate caloric intake. When counseling the client in ways to maintain an optimal weight, the nurse should tell the client to:

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