NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is teaching the client with insulin-dependent diabetes the signs of hypoglycemia. Which of the following signs is associated with hypoglycemia?
Correct Answer: A
Rationale: Tremulousness is a classic sign of hypoglycemia, resulting from the body's sympathetic response to low blood sugar.
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.
Question 3 of 5
The nurse enters a 2 year-old child's hospital room in order to administer an oral medication. When the child is asked if he is ready to take his medicine, he immediately says, 'No!'. What would be the most appropriate next action?
Correct Answer: A
Rationale: Leave the room and return five minutes later and give the medicine. Respecting the child's response builds trust, and a brief delay aligns with a toddler's sense of time.
Question 4 of 5
The nurse has been assigned to four clients in the emergency room, each experiencing one of these conditions. Which client condition would the nurse check first?
Correct Answer: C
Rationale: Tension pneumothorax with slight tracheal deviation to the right. Tracheal deviation indicates a life-threatening condition with risk of cardiac tamponade.
Question 5 of 5
The parents of a child with tetralogy of Fallot ask the nurse why it is called a cyanotic heart defect. The nurse responds that it is called a cyanotic heart defect because:
Correct Answer: C
Rationale: Tetralogy of Fallot causes right-to-left shunting, allowing deoxygenated blood to enter systemic circulation, leading to cyanosis, the hallmark of this defect.