NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
A patient with a tentative diagnosis of cholecystitis is discharged from the emergency room with instructions to make an appointment for a more definitive diagnosis workup.
Question 1 of 5
The recommendation that would produce the most valuable diagnostic information would be:
Correct Answer: A
Rationale: A pain journal helps identify triggers and patterns, aiding cholecystitis diagnosis.
Extract:
Question 2 of 5
A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?
Correct Answer: B
Rationale: Morphine sulfate, a narcotic analgesic, causes central nervous system (CNS) and respiratory depression. In patients with head injuries, it is contraindicated because it masks signs of increased intracranial pressure (ICP), such as changes in level of consciousness, which are critical for monitoring neurological status. Promethazine is an antiemetic, docusate is a stool softener, and ranitidine prevents stress ulcers, none of which pose the same risk in this context.
Question 3 of 5
A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin. The nurse should base her reply on the knowledge that:
Correct Answer: A
Rationale:
Tolerance, requiring higher doses for the same effect, is common with long-term opioid use and does not equate to addiction. Addiction involves psychological dependence, not described here. Psychosocial Integrity
Question 4 of 5
The nurse is preparing to discharge a client with a new prescription for metoprolol (Lopressor). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Metoprolol, a beta-blocker, can cause bradycardia, so checking the pulse (holding if <60 bpm) prevents adverse effects. High-fiber meals (
A) are unrelated, stopping for dizziness (
C) requires physician consultation, and potassium (
D) is relevant for diuretics, not beta-blockers.
Extract:
Danielle Knetchel, 32 years old, experiences diarrhea after eating in the restaurant. She went to the clinic and the physician prescribed anti-diarrheal drug, a narcotic that causes dryness of the mouth.
Question 5 of 5
Which of the following drugs was given to Danielle?
Correct Answer: D
Rationale: Lomotil, a narcotic antidiarrheal, causes dry mouth as a side effect.