NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 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 2 of 5
A nurse is reinforcing fall-prevention teaching to the spouse of a 78-year-old client who recently experienced a stroke. What suggestion by the nurse is most effective in preventing falls?
Correct Answer: C
Rationale: Removing rugs and installing grab bars (
C) directly addresses environmental hazards, the most effective fall prevention strategy. Rising slowly (
A), using a walker (
B), or hiring an aide (
D) are helpful but less comprehensive.
Question 3 of 5
A client with a panic disorder has a new prescription for Xanax (alprazolam). In teaching the client about the drug's actions and side effects, which of the following should the nurse emphasize?
Correct Answer: A
Rationale: Short-term relief can be expected. Xanax is a short-acting benzodiazepine useful in controlling panic symptoms quickly.
Question 4 of 5
A client has chronic obstructive pulmonary disease exacerbation. The pulse oximeter shows a saturation of 86% on room air. The nurse finds bilateral diminished lung sounds and low-pitched wheezing posteriorly, shallow respirations, respiratory rate of 32/min, and use of accessory muscles. What is the most appropriate oxygen delivery device for this client?
Correct Answer: D
Rationale: A Venturi mask (
D) delivers precise oxygen concentrations, ideal for COPD exacerbation to avoid hypercapnia. Nasal cannula (
A), non-rebreathing mask (
B), and Oxymizer (
C) are less precise.
Question 5 of 5
The nurse is reinforcing teaching for a client with bipolar disorder who has a new prescription for lithium. Which of the following statements by the client would require follow-up?
Correct Answer: B
Rationale: Ibuprofen (
B) can increase lithium toxicity, requiring follow-up. Adequate fluid intake (
A), consistent sodium (
C), and periodic level checks (
D) are correct.