NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
The client is taking Aminophylline.
Question 1 of 5
The nurse knows that the client is having problem if she observes that the client is:
Correct Answer: B
Rationale: Restlessness is a sign of aminophylline toxicity, indicating a need for intervention.
Extract:
Question 2 of 5
A client refuses to take the medication prescribed because the client prefers to take self-prescribed herbal preparations. What is the initial action the nurse should take?
Correct Answer: B
Rationale: Respect for differences is demonstrated by incorporating traditional cultural practices for staying healthy into professional prescriptions and interventions. The challenge for the health care provider is to understand the client's perspective. 'Culture care preservation or maintenance refers to those assistive, supporting, facilitative or enabling professional actions and decisions that help people of a particular culture to retain and/or preserve relevant care values to that they can maintain their well-being, recover from illness or face handicaps and/or death.'
Extract:
The nursing intervention that should be instituted immediately to relieve the symptoms associated with the patient's hypoglycemic reaction include:
Question 3 of 5
Giving 8 oz of fruit juice with 2 tablespoon of sugar.
Correct Answer: A
Rationale: Fruit juice with sugar provides rapid glucose to reverse hypoglycemia effectively.
Extract:
Question 4 of 5
A 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident. Which of the following symptoms should the nurse expect to see INITIALLY?
Correct Answer: D
Rationale: Subdural hematoma and cerebral edema initially cause a decreased level of consciousness (e.g., confusion, stupor) due to increased intracranial pressure (ICP). Unequal pupils (
A), decerebrate posturing (
B), and seizures (
C) are later signs of severe ICP or brainstem damage.
Question 5 of 5
A client with sickle cell disease is admitted with a diagnosis of pneumonia. Which nursing intervention would be most helpful to prevent a vasocclusive crisis?
Correct Answer: D
Rationale: Hydration is needed to prevent slowing of blood flow and occlusion. It is important to perform the assessments in answers A, B, and C, but D is the best intervention for the prevention of the crisis.