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NCLEX Practice Questions PN Questions

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Question 1 of 5

The nurse is reinforcing home care instructions to a client newly diagnosed with osteomalacia. Which of the following client statements indicate proper understanding of teaching? Select all that apply.

Correct Answer: C, D

Rationale: Vitamin D-rich foods (
C) and physical activity (
D) improve bone health in osteomalacia. Avoiding calcium/phosphorus (
A), sunlight (
B), or using a cane (E) are incorrect or unnecessary.

Question 2 of 5

The nurse administers the prescribed dose of hydromorphone 2 mg to a client who had knee replacement surgery 2 days ago. Which assessment finding is most concerning to the nurse?

Correct Answer: A

Rationale: Falling asleep mid-conversation (
A) may indicate opioid-induced respiratory depression, a life-threatening concern. Constipation (
B), emesis (
C), and pruritus (
D) are less urgent side effects.

Question 3 of 5

The nurse is caring for an assigned team of clients. Which client is the priority for the nurse at this time?

Correct Answer: C

Rationale: An aura (
C) indicates an impending seizure, requiring immediate intervention to ensure safety. Guillain-Barré (
A), multiple sclerosis (
B), and fibromyalgia (
D) are less acute at this moment.

Question 4 of 5

The nurse is reviewing laboratory test results for an 80-year-old client who has a methicillin-resistant Staphylococcus aureus infection and is receiving vancomycin. Which of the following test results would require immediate follow-up?

Correct Answer: A

Rationale: Elevated BUN (
A) may indicate nephrotoxicity, a serious side effect of vancomycin requiring immediate follow-up. Decreased iron (
B) or triglycerides (
C) are not directly related to vancomycin toxicity. Elevated glucose (
D) may need monitoring but is less urgent.

Question 5 of 5

The nurse is caring for a client who is experiencing an acute exacerbation of asthma. Which of the following medications should the nurse administer to the client? Select all that apply.

Correct Answer: A, C

Rationale: Albuterol (
A) and ipratropium (
C) are bronchodilators used in acute asthma exacerbations. Ibuprofen (
B), tobramycin (
D), and montelukast (E) are not indicated for acute management.

Similar Questions

A nurse is reinforcing teaching to the parent of a child who has a new diagnosis of absence seizures. Which statement by the parent indicates understanding of the teaching?
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The nurse is caring for a client who had an endoscopic procedure yesterday to stop upper gastrointestinal bleeding and who started a clear liquid diet today. Which of the following foods would be appropriate to offer to this client? Select all that apply.
The nurse is assisting the physician with an examination of a client with Addison's disease. During the examination, the nurse will note which change in the client's integumentary system?
The nurse is caring for a post-surgical client at risk for developing deep vein thrombosis. Which intervention is an effective preventive measure?

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