NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:
Correct Answer: B
Rationale: Lisinopril and furosemide are commonly prescribed together for hypertension, as lisinopril is an ACE inhibitor that reduces blood pressure, and furosemide is a diuretic that reduces fluid volume. There is no contraindication for administering them concomitantly, so answer A is incorrect. Administering them separately is unnecessary, so answer C is incorrect. Contacting the pharmacy is not needed unless there is a supply issue, so answer D is incorrect.
Question 2 of 5
The nurse is caring for a 5 year-old child whose left leg is in skeletal traction. Which of the following activities would be an appropriate diversional activity?
Correct Answer: C
Rationale: Playing hand held games. Immobilization with traction must be maintained until bone ends are in satisfactory alignment. Activities that increase mobility interfere with the goals of treatment.
Question 3 of 5
The nurse is preparing to take a toddler's blood pressure for the first time. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: Permit handling the equipment before putting the cuff in place. The best way to gain the toddler's cooperation is to encourage handling the equipment. Detailed explanations are not helpful.
Question 4 of 5
The nurse is talking with a client with hypertension and hyperlipidemia who is receiving nifedipine and simvastatin. Which of the following statements by the client would require follow-up?
Correct Answer: B
Rationale: Grapefruit juice (
B) inhibits CYP3A4, increasing simvastatin levels and risk of toxicity. Orthostatic precautions (
A), moderate wine (
C), and herbs (
D) are appropriate.
Question 5 of 5
A nurse is assigned to a client who is newly admitted for treatment of a frontal lobe brain tumor. Which history offered by the family members would be recognized by the nurse as associated with the diagnosis, and communicated to the provider?
Correct Answer: B
Rationale: I find the mood swings and the change from a calm person to being angry all the time hard to deal with. Frontal lobe tumors affect emotions and judgment, causing mood swings and personality changes.