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
An elderly client with peripheral vascular disease has been using a heating pad. The first sign of thermal injury related to the use of a heating pad or a hot compress is:
Correct Answer: B
Rationale: Redness is the earliest sign of thermal injury due to vasodilation and inflammation. Swelling, blanching, and blisters appear later.
Question 3 of 5
A 15-year-old client has just been diagnosed as having infectious mononucleosis. He asks how he contracted the disease. Which action reported in his history is most likely related to developing infectious mononucleosis?
Correct Answer: D
Rationale: Infectious mononucleosis is spread via saliva; sharing water bottles is a likely transmission route, unlike hats, nail injuries, or shellfish.
Question 4 of 5
The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to?
Correct Answer: C
Rationale: The measurement and recording of vital signs may be delegated to UAP. This falls under the umbrella of routine task with stable clients. Other considerations for delegation of care to UAP would be: Who is capable and is the least expensive worker to do each task?
Question 5 of 5
The nurse is caring for a client with a history of Parkinson’s disease who is prescribed levodopa-carbidopa (Sinemet). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: High-protein meals can interfere with levodopa absorption, so avoiding them with doses improves efficacy. Taking on an empty stomach (
A) is ideal but not mandatory, vitamin B6 (
C) enhances metabolism (reducing effect), and stopping for dizziness (
D) requires physician consultation.