NCLEX Questions, PN NCLEX Practice Exam Questions, NCLEX-PN Questions, Nurselytic

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

PN NCLEX Practice Exam Questions

Extract:


Question 1 of 5

The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: B,C,D

Rationale: Seizure precautions (
B), neurological checks (
C), and strict I&O (
D) manage SIADH complications like hyponatremia. Vasopressin (
A) worsens SIADH, and normal saline (E) may not correct hyponatremia.

Question 2 of 5

The nurse assesses a client who has been re-admitted to the psychiatric inpatient unit for schizophrenia. His symptoms have been managed for several months with fluphenazine (Prolixin). Which should be a focus of the first assessment?

Correct Answer: B

Rationale: Medication compliance. Ensuring adherence to fluphenazine is critical for symptom management in schizophrenia.

Question 3 of 5

The nurse is caring for an older adult client who is confused and has a high risk for falls. The client is incontinent of urine and frequently attempts to get out of bed unassisted to use the restroom. Which nursing interventions are appropriate when caring for this client? Select all that apply.

Correct Answer: A,B,D

Rationale: Bed alarms (
A), hourly rounding (
B), and proximity to the nurses' station (
D) enhance safety and monitoring. Catheters (
C) increase infection risk and are not first-line, and raising all side rails (E) is a restraint and unsafe.

Question 4 of 5

The nurse is caring for a client who had a portable water seal chest drainage system inserted today. Which observation indicates that the client's drainage system is working properly?

Correct Answer: A

Rationale: No bubbles in the water seal bottle indicates a stable system without air leaks, confirming proper function post-insertion.

Question 5 of 5

The nurse is reinforcing teaching for a client with suspected Cushing syndrome who has a 24-hour urine specimen. Which of the following information should the nurse reinforce? Select all that apply.

Correct Answer: B,C

Rationale: Discarding the first void and recording the start time (
B) ensures accurate collection, and refrigerating the container (
C) preserves the sample. Catheters (
A) are not needed, all urine is collected (D is incorrect), and light protection (E) is unnecessary.

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