NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

Which of the following assessment findings would indicate to the nurse the need for more sedation in a client who is withdrawing from alcohol dependence?

Correct Answer: A

Rationale: Steadily increasing vital signs (e.g., heart rate, blood pressure) indicate impending delirium tremens, a severe alcohol withdrawal complication, requiring additional sedation to prevent seizures or cardiovascular collapse. Mild tremors (
B) are expected, decreased respirations (
C) contraindicate sedation, and GI distress (
D) is typical but less urgent.

Question 2 of 5

The nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse prioritize?

Correct Answer: B

Rationale: Ensuring the endotracheal tube is secure prevents accidental extubation, maintaining airway and ventilation. ABGs (
A), sedatives (
C), and settings (
D) are important but secondary to airway security.

Question 3 of 5

A patient with schizophrenia is prescribed risperidone (Risperdal). Which of the following side effects should the nurse monitor for?

Correct Answer: C

Rationale: Risperidone, an antipsychotic, commonly causes extrapyramidal symptoms (e.g., tremors, rigidity), requiring monitoring. Weight gain, not loss, is typical, and hyperactivity or insomnia are less common.

Extract:

At the well-baby clinic, the nurse follows certain sequence of the baby's assessment


Question 4 of 5

The nurse follows certain sequence of the baby's assessment that includes:

Correct Answer: D

Rationale: Assessing temperature first avoids influencing it, followed by weight, respiratory rate, and heart rate for a comprehensive evaluation.

Extract:


Question 5 of 5

A patient with generalized anxiety disorder is prescribed buspirone (Buspar). Which of the following statements indicates the patient understands the medication?

Correct Answer: C

Rationale: Buspirone takes 2–4 weeks for full anxiolytic effect, requiring consistent use. It’s not PRN, has low dependence risk, and alcohol should be avoided due to CNS depression.

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