NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The parents of a child with tetralogy of Fallot ask the nurse why it is called a cyanotic heart defect. The nurse responds that it is called a cyanotic heart defect because:
Correct Answer: C
Rationale: Tetralogy of Fallot causes right-to-left shunting, allowing deoxygenated blood to enter systemic circulation, leading to cyanosis, the hallmark of this defect.
Question 2 of 5
A client, age 28, was recently diagnosed with Hodgkin's disease. After staging, therapy is planned to include combination radiation therapy and systemic chemotherapy with MOPP—nitrogen mustard, vincristine (Oncovin), prednisone, and procarbazine. In planning care for this client, the nurse should anticipate which of the following side effects to contribute to a sense of altered body image?
Correct Answer: B
Rationale: Alopecia, or hair loss, is a common side effect of chemotherapy (e.g., vincristine) and radiation, significantly affecting body image. Pathologic fractures are not typical, and sterility or cushingoid appearance have less direct impact on body image. Physiological Adaptation
Question 3 of 5
The licensed practical nurse is making assignments for the nursing assistant. Which client should be assigned to the nursing assistant?
Correct Answer: B
Rationale: A client with total knee repair is stable and suitable for a nursing assistant's care (e.g., basic mobility, hygiene). Alzheimer's , laparotomy , and diverticulitis require more complex nursing assessments.
Question 4 of 5
A nurse is caring for a patient who is receiving gentamicin (Garamycin). Which of the following findings should be reported immediately?
Correct Answer: B
Rationale: Tinnitus indicates potential ototoxicity, a serious gentamicin side effect, requiring immediate reporting to prevent hearing loss. Nausea, headache, and fatigue are less urgent.
Question 5 of 5
The nurse is caring for a client with a new order for bupropion (Wellbutrin) for treatment of depression. The order reads 'Wellbutrin 175 mg. HD x 4 days.' What is the appropriate action?
Correct Answer: B
Rationale: Bupropion (Wellbutrin) should be started at 100 mg BD for three days then increased to 150 mg BD. When used for depression, it may take up to four weeks for results. Common side effects are dry mouth, headache, and agitation. Doses should be administered in equally spaced time increments throughout the day to minimize the risk of seizures.