NCLEX-PN
Practice NCLEX PN Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with mild Alzheimer disease who is agitated after eating breakfast. The client states, 'I am hungry. You did not feed me.' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: For an Alzheimer client with agitation and false hunger claims, offering a snack before lunch calms the client without overfeeding. Finger foods or extra meals may not address agitation, and a dietician evaluation is less immediate.
Question 2 of 5
The nurse is caring for an adult who is receiving diphenoxylate hydrochloride with atropine sulfate (Lomotil) qid. What nursing assessment is essential while the client is receiving this medication?
Correct Answer: B
Rationale: Lomotil can cause respiratory depression due to its opioid component, requiring respiratory assessment before administration.
Question 3 of 5
A client diagnosed with cirrhosis is started on lactulose (Cephulac). The main purpose of the drug for this client is to
Correct Answer: B
Rationale: Lactulose blocks the absorption of ammonia from the GI tract and secondarily stimulates bowel elimination.
Question 4 of 5
The nurse is caring for a client who has a prescription for clarithromycin 7.5 mg/kg/day PO in 2 divided doses. The client weighs 78 lb. How many mL should the nurse administer for each dose? Record your answer using 1 decimal place.
Correct Answer: 7.5 mL/dose
Rationale: Client weight: 78 lb ÷ 2.2 = 35.45 kg. Dose: 7.5 mg/kg/day × 35.45 kg = 265.875 mg/day ÷ 2 doses = 132.9375 mg/dose. Clarithromycin is typically 250 mg/5 mL. Thus, 132.9375 mg × (5 mL/250 mg) = 2.65875 mL ≈ 2.7 mL/dose.
Question 5 of 5
The nurse is reviewing the medical record of a 4-year-old client with failure to thrive. Which of the following risk factors likely contribute to the client's condition? Select all that apply.
Correct Answer: B,C,E
Rationale: FTT risk factors include parental incarceration causing family stress, a history of anorexia nervosa affecting feeding practices, and food insecurity . Being the youngest or a working parent are not direct risks.