NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Francis' serum K+ level is 3.8 mEq/L. Potassium chloride 40 mEq has been prescribed to be added to the first liter of IV fluid.
Question 1 of 5
The nurse should
Correct Answer: C
Rationale: Ketoacidosis means high blood glucose. Insulin is expected to be administered to lower the blood glucose level. Insulin transports potassium back to the cell, so potassium IV is usually given prophylactically with insulin.
Extract:
Michael has congenital Hirschprung disease. Chronic constipation has been a major problem with the patient.
Question 2 of 5
Important finding would include
Correct Answer: C
Rationale: Ribbon-like stools are characteristic of Hirschprung disease due to narrowed colon segments.
Extract:
Question 3 of 5
Following mitral valve replacement surgery a client develops PVC's. The health care provider orders a bolus of Lidocaine followed by a continuous Lidocaine infusion at a rate of 2 mg/minute. Which finding indicates that the client is experiencing lidocaine toxicity?
Correct Answer: D
Rationale: No measurable voiding in 4 hours. The concern is possible hyperkalemia, which could occur with continued potassium administration and a decrease in urinary output since potassium is excreted via the kidneys.
Question 4 of 5
Light therapy can be effective for:
Correct Answer: D
Rationale: Light therapy is effective for regulating circadian rhythms and treating sleep disorders, like seasonal affective disorder. It is not primarily used for weight, allergies, or general alternative treatments. Nonpharmacological Therapies
Question 5 of 5
A client with paranoid personality disorder monopolizes group activities with complaints that the staff is out to get him. The nurse should:
Correct Answer: D
Rationale: One of the most therapeutic actions the nurse can take with the paranoid client is to spend time with him but not challenge his delusions. Answer A would challenge his delusions and make him more convinced that he is right, so it is incorrect. Answers B and C would isolate the client and increase his paranoid thinking, so they're incorrect.