NCLEX Questions, NCLEX PN Practice Test Questions, NCLEX-PN Questions, Nurselytic

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

NCLEX PN Practice Test Questions

Extract:


Question 1 of 5

The office nurse receives 4 telephone messages from clients. Which client does the nurse anticipate as the priority for treatment?

Correct Answer: C

Rationale: Headaches and gait disturbance in a 78-year-old on warfarin post-fall (
C) suggest a possible subdural hematoma, a life-threatening condition requiring immediate evaluation. Bull’s-eye rash (
A) suggests Lyme disease, vaginal discharge (
B) indicates yeast infection, and diarrhea (
D) is a colchicine side effect, all less urgent.

Question 2 of 5

The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

Correct Answer: C

Rationale: The client should leave the medication in the brown bottle because light deteriorates the medication. The supply should be replenished every six months, so answer A is incorrect. One tablet should be taken every five minutes times three, so answer B is incorrect. If the pain does not subside, the client should report to the emergency room. The medication should be taken sublingually and should not be crushed, so answer D is incorrect.

Question 3 of 5

The nurse on the mental health unit is talking with a client with schizophrenia. Which of the following statements by the client would indicate that the client is experiencing a delusion of reference?

Correct Answer: C

Rationale: A delusion of reference involves believing neutral events or objects (e.g., a song on the radio) have personal significance or hidden messages (
C). Auditory hallucinations (
A) involve hearing voices, not reference. Tactile hallucinations (
B) involve false sensations, and persecutory delusions (
D) involve belief in harm without reference to neutral stimuli.

Question 4 of 5

An adult is prescribed lovastatin (Mevacor). The nurse should teach the client that while he is taking lovastatin (Mevacor), he must avoid:

Correct Answer: B

Rationale: Grapefruit juice inhibits CYP3A4, increasing lovastatin levels and risking toxicity, such as myopathy. Apples, aspirin, and ibuprofen do not have significant interactions with lovastatin.

Extract:

Laboratory reference ranges
Glucose (random)
71-200 mg/dL
(3.9-11.1 mmol/L)


Question 5 of 5

A category 4 hurricane has affected a rural, local health care system, creating a significant increase in emergency department admissions. Which of the following clients should the nurse anticipate as the priority for intervention?

Correct Answer: A

Rationale: Status asthmaticus with 80% pulse oximetry (
A) indicates severe hypoxia, requiring immediate intervention to prevent respiratory failure. Headache post-collision (
B) and nausea in pregnancy (
C) are less acute, as they do not indicate immediate life-threatening conditions.

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