NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a new order for bupropion (Wellbutrin) for treatment of depression. The order reads 'Wellbutrin 175 mg. HD x 4 days.' What is the appropriate action?
Correct Answer: B
Rationale: Bupropion (Wellbutrin) should be started at 100 mg BD for three days then increased to 150 mg BD. When used for depression, it may take up to four weeks for results. Common side effects are dry mouth, headache, and agitation. Doses should be administered in equally spaced time increments throughout the day to minimize the risk of seizures.
Question 2 of 5
Which of the following observations is most important when assessing a client's breathing?
Correct Answer: C
Rationale: Ensuring the presence and adequacy of breathing is critical to assess effective oxygenation. Pulse rate and position are secondary considerations. Physiological Adaptation
Question 3 of 5
While working with an obese adolescent, it is important for the nurse to recognize that obesity in adolescence is most often associated with what other finding?
Correct Answer: B
Rationale: Poor body image. Obesity often leads to decreased self-esteem and negative body image in adolescents.
Question 4 of 5
The nurse is performing an assessment on a client who is cachectic and has developed an enterocutaneous fistula following surgery to relieve a small bowel obstruction. The client's total protein level is reported as 4.5 g/dl. Which of the following would the nurse anticipate?
Correct Answer: C
Rationale: The client is not absorbing nutrients adequately as evidenced by the cachexia and low protein levels. (A normal total serum protein level is 6.0-8.0 g/dl.) TPN will promote a positive nitrogen balance in this client who is unable to digest and absorb nutrients adequately.
Question 5 of 5
A newly hired licensed practical nurse (LPN) is helping the charge nurse admit a client. The charge nurse asks the LPN if she understands the facility's rules of ethical conduct. Which statement by the LPN indicates the need for further teaching?
Correct Answer: D
Rationale: The law mandates that health care agencies ask all clients if they have an advance directive.
Therefore, the LPN must address this question regardless of whether the client initiates a conversation about it. Nurses must always act in the best interest of their clients, maintain confidentiality, and support the Patient's Bill of Rights.