NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is observing the movements of a client receiving Thorazine (chlorpromazine). The client continually paces and rocks back and forth when sitting. The nurse recognizes that the client is experiencing:
Correct Answer: B
Rationale: Akathisia is characterized by restlessness, pacing, and rocking, which matches the client's symptoms. Answer A involves fixed upward gaze, Answer C involves muscle spasms, and Answer D involves slowed movements, all of which are incorrect.
Question 2 of 5
Which of the following drug administrations should be reported as a practice error? Select all that apply.
Correct Answer: A,E
Rationale: Cephalexin in a penicillin-allergic client risks anaphylaxis, and warfarin in pregnancy can cause fetal harm. Pruritus and flushing are expected side effects, and the ventrogluteal site is appropriate.
Question 3 of 5
The nurse is caring for several clients. When thinking about long-term goals, the nurse knows that which of these clients has the best prognosis?
Correct Answer: A
Rationale: Stage I Hodgkin's lymphoma has a high cure rate (over 90%) with treatment, offering the best prognosis compared to leukemia, osteosarcoma, or multiple myeloma.
Question 4 of 5
Which of the following indicates failure of a ventriculoperitoneal shunt?
Correct Answer: A
Rationale: Projectile vomiting is a sign of increased intracranial pressure due to ventriculoperitoneal shunt failure, indicating obstruction or malfunction.
Question 5 of 5
The nurse is caring for a client who is experiencing a tonic-clonic seizure. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,B,D
Rationale: Suctioning, side-lying position, and assistance protect the client. Restraining or using a tongue blade can cause injury.