NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
The school nurse found out that the boy in the class has head lice.
Question 1 of 5
What is your nursing priority?
Correct Answer: C
Rationale: Informing the mother ensures prompt treatment and prevents spread.
Extract:
Valerie, 37 years old, enters the hospital with symptoms of Addison's disease. She relates that she was taking cortisone pill for her contact dermatitis, but they bothered her stomach so she quit taking them. On admission Valerie's vital signs are: BP was 80/60; HR 115; RR 24. Laboratory results include a sodium level 128 mEq/L; potassium 5.5 mEq/L.
Question 2 of 5
Hypotension in Addison's disease involves a disturbance in the production of
Correct Answer: D
Rationale: Mineralcorticoids such as aldosterone cause the kidneys to retain sodium ions. With sodium, water is also retained, elevating blood pressure. Absence of this hormone causes hypotension.
Extract:
Question 3 of 5
A client being discharged from the cardiac step-down unit following a myocardial infarction (MI), is given a prescription for a beta-blocking drug. A nursing student asks the charge nurse why this drug would be used by a client who is not hypertensive. What is an appropriate response by the charge nurse?
Correct Answer: C
Rationale: One action of beta-blockers is to decrease systemic vascular resistance by dilating arterioles. This is useful for the client with coronary artery disease, and will reduce the risk of another MI or sudden death.
Question 4 of 5
While obtaining a health history, the nurse learns that the client is allergic to bee stings. When obtaining this client's medication history, the nurse should determine if the client keeps which medication on hand?
Correct Answer: A
Rationale: A client who is allergic to bee stings should keep diphenhydramine on hand because its antihistamine action can prevent a severe allergic reaction. Pseudoephedrine is a decongestant, which is used to treat cold symptoms. Guaifenesin is an expectorant, which is used for coughs. Loperamide is an antidiarrheal agent.
Extract:
The patient with ascites has a paracentesis and 1500 ml of fluid is removed.
Question 5 of 5
Immediately following the procedure it is most important for the nurse to observe for:
Correct Answer: A
Rationale: A rapid, thready pulse indicates hypovolemia or shock post-paracentesis, a critical complication.