NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of depression who is prescribed fluoxetine (Prozac). The client reports feeling 'jittery' and restless. The nurse should
Correct Answer: C
Rationale: Jitteriness and restlessness are signs of akathisia, a side effect of fluoxetine, requiring physician notification for possible dose adjustment or additional medication. Lorazepam (
A) is inappropriate without orders, activity (
B) may worsen symptoms, and bedtime dosing (
D) doesn’t address the issue.
Extract:
Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia. She enters complete remission with intensive induction of chemotherapy, but she relapses after 3 months of maintenance of chemotherapy with vincristine, prednisone, methotrexate and mercaptopurine. She develops a neutropenia from the chemotherapy. On admission, her lab results came back with WBC 15000, Hemoglobin 8 mg/dl; platelet 94,000. She complains of ache all over her body, her gum bleeds very easily. Vital signs include BP 70/40; HR 130, RR 28; Temp 38°C
Question 2 of 5
Which of the following are consistent with Leukemia?
Correct Answer: C
Rationale: Bruising and petechiae result from low platelets, common in leukemia.
Extract:
Question 3 of 5
A client who has hypokalemia asks the nurse for dietary advice on what foods would help this problem. What should the nurse tell the client?
Correct Answer: B
Rationale: Oranges, bananas, and prunes are potassium-rich, directly addressing hypokalemia through dietary intake.
Extract:
Atherosclerosis:
Question 4 of 5
Atherosclerosis:
Correct Answer: B
Rationale: Atherosclerosis involves fatty deposits (plaques) in arterial walls, causing narrowing.
Extract:
Question 5 of 5
A patient with chronic kidney disease is receiving hemodialysis. Which of the following assessments is most important before starting the dialysis session?
Correct Answer: A
Rationale: Blood pressure assessment prevents complications like hypotension during dialysis, a common risk in renal failure. Respiratory rate, heart rate, and temperature are monitored but less critical.