NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
The parents of an adolescent who is being treated for a serious head injury ask why their child is being kept unconscious. The parents say, 'The doctor said he was going to give him medicine to keep him unconscious for a few days. Why? We want to talk to him. What is going on?' What should the nurse include when responding to the parents?
Correct Answer: B
Rationale: Barbiturates induce coma in severe head injuries to reduce cerebral metabolism and intracranial pressure, protecting the brain, unlike pain control or restlessness management.
Question 2 of 5
A client with a recent spinal cord injury is experiencing dysreflexia and is noted to have a BP of $240 / 110$. The nurse's initial response should be to:
Correct Answer: B
Rationale: Elevating the head to a 45° angle helps reduce blood pressure in autonomic dysreflexia by promoting venous return and reducing intracranial pressure.
Question 3 of 5
After successful alcohol detoxification, a client remarked to a friend, 'I've tried to stop drinking but I just can't. I can't even work without having a drink.' The client's belief that he needs alcohol indicates his dependence is primarily
Correct Answer: A
Rationale: With psychological dependence, it is the client's thoughts and attitude toward alcohol that produce craving and compulsive use.
Question 4 of 5
An adult is hospitalized following a myocardial infarction. While the client is receiving heparin, the nurse should have which of the following medications available?
Correct Answer: D
Rationale: Protamine sulfate is the antidote for heparin overdose, reversing its anticoagulant effects in case of bleeding.
Question 5 of 5
The nurse is preparing to administer sumatriptan to a client with a migraine headache. Which of the following findings would require follow-up prior to administering the medication?
Correct Answer: B
Rationale: Sumatriptan is contraindicated in uncontrolled hypertension due to the risk of cardiovascular events.