NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
A patient with Alzheimer's disease is admitted with suspected dehydration after his daughter reports that he's refused to drink anything for the past 3 days.
Question 1 of 5
Which lab result is most expected with dehydration?
Correct Answer: B
Rationale: Hypernatremia (elevated sodium) is expected in dehydration due to water loss.
Extract:
Question 2 of 5
A nurse is administering metoprolol (Lopressor) to a patient with hypertension. Which of the following assessments is most important before administering this medication?
Correct Answer: A
Rationale: Metoprolol, a beta-blocker, lowers blood pressure and heart rate, so assessing blood pressure prevents hypotension or bradycardia. Respiratory rate, temperature, and oxygen saturation are less critical.
Question 3 of 5
A client, age 21, is admitted with bacterial meningitis. Which hospital room would be the appropriate choice for this client?
Correct Answer: B
Rationale: A client with bacterial meningitis should be kept in isolation for at least 24 hours after admission and, during the initial acute phase, should be as close to the nurses' station as possible to allow maximal observation. Placing the client in a room with a client who has viral meningitis may cause harm to both clients because the organisms causing viral and bacterial meningitis differ; either client may contract the other's disease. Immunity to bacterial meningitis can't be acquired; therefore, a client who previously had bacterial meningitis shouldn't be put at risk by rooming with a client who has just been diagnosed with this disease.
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 4 of 5
Appropriate patient teaching when the chest tube is removed:
Correct Answer: A
Rationale: Holding a deep breath during removal prevents air entry into the pleural space.
Extract:
Question 5 of 5
Teaching about the need to avoid foods high in potassium is most important for which client?
Correct Answer: D
Rationale: Renal disease impairs potassium excretion, leading to hyperkalemia, so avoiding high-potassium foods is critical. The other conditions are more associated with hypokalemia. Physiological Adaptation