NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of chronic venous insufficiency. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: Leg elevation reduces venous pooling and edema in chronic venous insufficiency, improving circulation. Warm compresses (
A) are inappropriate, diuretics (
C) are not first-line, and restricting ambulation (
D) worsens stasis.
Question 2 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 3 of 5
A nurse is assessing an elderly patient for signs of dehydration. Which of the following findings is most indicative of dehydration?
Correct Answer: A
Rationale: Dry mucous membranes are a classic sign of dehydration, reflecting fluid loss. Increased urine output, hypertension, and weight gain suggest fluid overload or other conditions, not dehydration.
Question 4 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.
Question 5 of 5
A client is experiencing hallucinations that are markedly increased at night. The client is very frightened by the hallucinations. The client's partner asked to stay a few hours beyond the visiting time, in the client's private room. What would be the best response by the nurse demonstrating emotional support for the client?
Correct Answer: C
Rationale: Yes, staying with the client and orienting her to her surroundings may decrease her anxiety. The partner's presence can reduce anxiety and confusion.