NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
When administering intravenous electrolyte solution, the nurse should take which of the following precautions?
Correct Answer: C
Rationale: Calcium infiltration can cause tissue necrosis, so preventing it is critical. Hypertonic solutions should be infused cautiously, potassium is typically limited to 60 mEq/L, and calcium's effect on digitalis is not a primary concern here. Physiological Adaptation
Question 2 of 5
The nurse is caring for a client who is prescribed cholestyramine (Questran). Which comment by the client is of most concern to the nurse?
Correct Answer: B
Rationale: Muscle fatigue may indicate myopathy, a rare but serious side effect of cholestyramine, requiring immediate evaluation. Grapefruit, weight loss, and bruising are not directly related to cholestyramine risks.
Extract:
A teen-ager was diagnosed with iron-deficiency anemia.
Question 3 of 5
Appropriate diagnostic test would be:
Correct Answer: D
Rationale: A complete blood count (CB
C) assesses hemoglobin, hematocrit, and other parameters for anemia.
Extract:
Question 4 of 5
A woman has been recently diagnosed with systemic lupus and shares with the nurse, 'I am thinking about getting pregnant, but I don't know how I will be able to tolerate a pregnancy since I have lupus.' Which of the following responses by the nurse is BEST?
Correct Answer: B
Rationale: Systemic lupus erythematosus (SLE) increases maternal morbidity and mortality during pregnancy, and active disease can exacerbate complications. Pregnancy is safest when SLE is in remission for at least 5–6 months prior to conception. Asking about remission status assesses the client’s disease activity, which is critical for planning a safe pregnancy.
Choice A is inaccurate, as SLE symptoms may worsen; choice C is false, as gestation length is unaffected; and choice D is incorrect, as conception is recommended after 2 years of stable disease.
Question 5 of 5
The nurse is preparing to administer a dose of prednisone to a client with rheumatoid arthritis. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Prednisone, a corticosteroid, can cause gastric irritation, so taking it with food minimizes GI upset. Empty stomach (
A) increases irritation, stopping abruptly (
B) risks adrenal crisis, and potassium (
D) is relevant for diuretics, not corticosteroids.