NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is preparing to administer a dose of digoxin (Lanoxin) to a client with heart failure. The client’s apical pulse is 56 beats per minute. The nurse should
Correct Answer: B
Rationale: Digoxin can cause bradycardia, and a pulse below 60 bpm warrants holding the dose and notifying the physician to prevent toxicity. Administering (
A) or reducing (
C) is unsafe, and rechecking (
D) delays intervention.
Extract:
An elderly male patient admitted with a diagnosis of R/O cerebral vascular accident has had a significant change in his blood pressure: BP on admission was 160/100; an hour later BP went up to 180/110. The patient also appears 'sleepy'.
Question 2 of 5
Which assessment finding should the nurse report immediately to the provider?
Correct Answer: A
Rationale: Unilateral facial drooping is a classic sign of a stroke, requiring immediate reporting to the provider for urgent intervention.
Extract:
Question 3 of 5
The nurse is caring for a client who is prescribed cholestyramine (Questran). Which comment by the client is of most concern to the nurse?
Correct Answer: B
Rationale: Muscle fatigue may indicate myopathy, a rare but serious side effect of cholestyramine, requiring immediate evaluation. Grapefruit, weight loss, and bruising are not directly related to cholestyramine risks.
Question 4 of 5
A patient with chronic kidney disease is receiving hemodialysis. Which of the following assessments is most important before starting the dialysis session?
Correct Answer: A
Rationale: Blood pressure assessment prevents complications like hypotension during dialysis, a common risk in renal failure. Respiratory rate, heart rate, and temperature are monitored but less critical.
Extract:
A patient was placed on a low sodium diet. The family asks if they can bring some snacks from home.
Question 5 of 5
The nurse suggests that they bring foods low in sodium such as:
Correct Answer: C
Rationale: Fresh oranges are naturally low in sodium, suitable for a low-sodium diet.