NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The office nurse is caring for the client diagnosed with chlamydia and syphilis. Based on this diagnosis, which medication order would require the nurse's immediate review with the prescribing HCP?
Correct Answer: C
Rationale: A. Doxycycline (Vibramycin), a tetracycline antibiotic, is an appropriate drug for treating chlamydia. B. Azithromycin (Zithromax), a semisynthetic macrolide antibiotic, is an appropriate drug for treating chlamydia. C. Metronidazole (Flagyl) is an anti-infective against anaerobic organisms, an amoebicide, and an antiprotozoal agent. It is not indicated for either chlamydia or syphilis. Flagyl is used to treat bacterial vaginosis and trichomoniasis. Collaboration with the HCP is necessary to discuss and clarify the order. D. Penicillin G (Bicillin) is an appropriate drug for treating syphilis.
Question 2 of 5
A client with a history of rheumatoid arthritis is prescribed methotrexate. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: Methotrexate can cause hepatotoxicity; monitoring liver enzymes is essential.
Question 3 of 5
Which nursing action is most appropriate when a chest tube is inadvertently pulled from its insertion site?
Correct Answer: A
Rationale: Covering the opening prevents air entry, reducing the risk of pneumothorax until medical intervention is available.
Question 4 of 5
A client with a history of depression is prescribed sertraline (Zoloft). Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Insomnia is a common side effect of sertraline, a selective serotonin reuptake inhibitor.
Question 5 of 5
When planning care for a client in sickle cell crisis, what is the main nursing priority?
Correct Answer: C
Rationale: Sickle cell crisis causes severe pain due to vaso-occlusion. Relieving discomfort through pain management is the primary nursing priority.