NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
A 65-year-old man has been admitted to the hospital for spinal stenosis surgery.
Question 1 of 5
When does the discharge training and planning begin for this patient?
Correct Answer: B
Rationale: Discharge planning begins upon admission to ensure a comprehensive care plan.
Extract:
Question 2 of 5
The client is admitted to the hospital with a hypertensive crisis. Diazoxide (Hyperstat) is ordered. During administration the nurse should:
Correct Answer: B
Rationale: Hyperstat is given IV push for hypertensive crisis. It often causes hyperglycemia. The glucose level will drop rapidly after the medication is administered. Answer A is incorrect because this medication is given IV push. The client should be placed in dorsal recumbent position, not Trendelenburg, so answer C is incorrect. Answer D is incorrect because the medication is ordered IV push.
Question 3 of 5
A 7-year-old boy is in the hospital with Reye's syndrome. He has been ill for two weeks with the flu. He ran high fevers and was treated with four baby aspirin alternating with 325-mg chewable Tylenol and sponge baths to control the fever. He also had a rash on his body that was itchy, and his mother used lotion and Benadryl to control the itching. Besides history of the flu, which factor in his history is associated with development of Reye's syndrome?
Correct Answer: C
Rationale: Aspirin use in children with viral infections, like the flu, is strongly linked to Reye's syndrome, a rare but serious condition affecting the liver and brain.
Question 4 of 5
An adult is admitted for surgery for a secreting adrenal tumor. In the immediate postoperative period, which nursing action will be highest priority?
Correct Answer: B
Rationale: Adrenal tumor resection may cause adrenal insufficiency; administering adrenal hormones is critical to replace deficient cortisol, preventing crisis. Liquids, breathing exercises, and pain management are secondary.
Question 5 of 5
A client with leukemia is receiving oral prednisolone (Prednisone). An expected side effect of the prolonged use of prednisolone is:
Correct Answer: C
Rationale: Prolonged use of prednisolone, a corticosteroid, causes hirsutism (excessive hair growth) due to hormonal effects. Weight gain, not loss , and increased appetite, not decreased , are typical. Integumentary bronzing is unrelated.