NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is prescribed cholestyramine (Questran). Which comment by the client is of most concern to the nurse?
Correct Answer: B
Rationale: Muscle fatigue may indicate myopathy, a rare but serious side effect of cholestyramine, requiring immediate evaluation. Grapefruit, weight loss, and bruising are not directly related to cholestyramine risks.
Question 2 of 5
Which laboratory result would concern the nurse caring for a client who is receiving furosemide (Lasix)?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, can cause hypokalemia. A potassium level of 2.5 mEq/L is critically low and concerning, risking arrhythmias. Sodium 140, glucose 110, and calcium 8 are within normal ranges.
Question 3 of 5
The nurse is caring for a dark-skinned client hospitalized with hepatitis. The nurse can best observe the presence of jaundice in the client by assessing the client's:
Correct Answer: C
Rationale: The sclera is the most reliable site to assess jaundice in dark-skinned clients, as bilirubin deposition is visible in the whites of the eyes.
Question 4 of 5
While assessing a 1 month-old infant, which finding should the nurse report immediately?
Correct Answer: C
Rationale: Inspiratory grunt. Inspiratory grunting is abnormal and may be a sign of respiratory distress in this infant.
Question 5 of 5
The nurse is preparing a five-year-old child for surgery. The nurse notes that the child's parents are divorced and have joint legal custody. The informed consent for surgery has been signed by the mother. Which of the following actions by the nurse is BEST?
Correct Answer: D
Rationale: Consent from either parent with joint legal custody is sufficient for surgical procedures. Since the mother has provided informed consent, no further action is needed, and the nurse should continue preoperative preparation. Notifying the physician or surgery, or contacting the father, is unnecessary.