NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is preparing to administer a dose of prednisone to a client with rheumatoid arthritis. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Prednisone, a corticosteroid, can cause gastric irritation, so taking it with food minimizes GI upset. Empty stomach (
A) increases irritation, stopping abruptly (
B) risks adrenal crisis, and potassium (
D) is relevant for diuretics, not corticosteroids.
Question 2 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.
Extract:
A patient's chart indicates a history of hyperkalemia.
Question 3 of 5
Which of the following would you not expect to see with this patient if these conditions were acute?
Correct Answer: D
Rationale: Migraines are not typically associated with acute hyperkalemia, unlike the other symptoms.
Extract:
Question 4 of 5
The nurse notes all of the following. Which situation needs immediate attention?
Correct Answer: C
Rationale: A water spill near an ambulatory client's bed poses an immediate fall risk, requiring prompt attention. Linen, dishes, or bed height are less urgent.
Extract:
Calculation of fluid replacement in bum is based on the patient's
Question 5 of 5
Age
Correct Answer: D
Rationale: Calculation of fluid replacement in burns is based on weight and body surface area (BS
A) burn, often using the rule of nines to calculate burn area.