NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
The nurse might expect a patient with multiple sclerosis to complain about the most common initial symptom which is:
Question 1 of 5
The nurse might expect a patient with multiple sclerosis to complain about the most common initial symptom which is:
Correct Answer: D
Rationale: Visual disturbances, such as optic neuritis, are a common initial symptom of multiple sclerosis.
Extract:
The client who's developing signs and symptoms indicate hyperglycemia?
Question 2 of 5
The client who's developing signs and symptoms indicate hyperglycemia?
Correct Answer: A
Rationale: Hyperglycemia causes polydipsia, polyuria, and weight loss due to osmotic diuresis.
Extract:
Danielle Knetchel, 32 years old, experiences diarrhea after eating in the restaurant. She went to the clinic and the physician prescribed anti-diarrheal drug, a narcotic that causes dryness of the mouth.
Question 3 of 5
Which of the following drugs was given to Danielle?
Correct Answer: D
Rationale: Lomotil, a narcotic antidiarrheal, causes dry mouth as a side effect.
Extract:
To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:
Question 4 of 5
To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:
Correct Answer: B
Rationale: Coughing and deep breathing promote lung expansion and secretion clearance post-chest drainage.
Extract:
Question 5 of 5
A client is receiving nitroglycerin ointment (Nitrol) to treat angina pectoris. The nurse evaluates the therapeutic effectiveness of this drug by assessing the client's response and checking for adverse effects. Which vital sign is most likely to reflect an adverse effect of nitroglycerin?
Correct Answer: C
Rationale: Hypotension and headache are the most common adverse effects of nitroglycerin.
Therefore, blood pressure is the vital sign most likely to reflect an adverse effect of this drug. The nurse should check the client's blood pressure 1 hour after administering nitroglycerin ointment. A blood pressure decrease of 10 mm Hg is within the therapeutic range. If blood pressure falls more than 20 mm Hg below baseline, the nurse should remove the ointment and report the finding to the physician immediately. An above-normal heart rate (tachycardia) is a less common adverse effect of nitroglycerin. Respiratory rate and temperature don't change significantly after nitroglycerin administration.