NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a person admitted with myasthenia gravis. What should be included in the nursing care plan for this person?
Correct Answer: B
Rationale: Myasthenia gravis causes muscle weakness, increasing aspiration risk; checking swallowing reflexes ensures safe feeding. Other actions are irrelevant.
Question 2 of 5
A client is scheduled for an Intravenous Pyelogram (IVP). In order to prepare the client for this test, the nurse would
Correct Answer: C
Rationale: Administer a laxative to the client the evening before the examination. Bowel prep is important because it will allow greater visualization of the bladder and ureters.
Question 3 of 5
During a routine examination, the nurse notes that the client seems unusually anxious. Anxiety can affect the genitourinary system by:
Correct Answer: D
Rationale: Anxiety may stimulate or hinder micturition. Its most noticeable effect is to cause frequent voiding and urinary urgency. However, when anxiety leads to generalized muscle tension, it may hinder urination because the perineal muscles must relax to complete micturition. Anxiety doesn't slow the glomerular filtration rate, increase sodium resorption, or decrease potassium excretion.
Question 4 of 5
The nurse is preparing to discharge a client with a new prescription for metoprolol (Lopressor). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Metoprolol, a beta-blocker, can cause bradycardia, so checking the pulse (holding if <60 bpm) prevents adverse effects. High-fiber meals (
A) are unrelated, stopping for dizziness (
C) requires physician consultation, and potassium (
D) is relevant for diuretics, not beta-blockers.
Extract:
While retrieving her voice messages, the public health nurse received a call from the patient who is receiving short acting insulin for her diabetes. The patient states, 'I know I have a severely low sugar since the regular insulin was given 3 hours ago and it peaks in 2 hours.'
Question 5 of 5
When the nurse returns the call, the first question she will ask the patient would be?
Correct Answer: B
Rationale: Hypoglycemia is likely if the patient has not eaten post-insulin, making this the priority question to assess the cause.