NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
Which of the following medications is a serotonin antagonist that might be used to relieve nausea and vomiting?
Correct Answer: B
Rationale: Ondansetron is a serotonin (5-HT3) receptor antagonist effective for nausea and vomiting, particularly in chemotherapy or postoperative settings. The other medications have different mechanisms. Physiological Adaptation
Question 2 of 5
A 15-month-old child with Hirschsprung's disease comes for a checkup. The mother reports all of the following. Which indicates a need for more instruction?
Correct Answer: A
Rationale: Limiting physical activity is unnecessary and may hinder development in Hirschsprung's disease; enemas, low-residue diet, and stool softeners are appropriate for managing constipation.
Question 3 of 5
A gravida 2 para 0 is admitted from the ER with spontaneous rupture of membranes. She states that she has seen the doctor only twice during the pregnancy and that she is unsure of her exact due date. Exam reveals the presence of green-tinged fluid in the vaginal vault. The fetus is noted to be in a LOP position with an FHR of 110 BPM. Based on the assessment, the nurse suspects:
Correct Answer: A
Rationale: Green-tinged fluid (meconium) and FHR of 110 BPM suggest fetal distress. Infection, post-maturity, or TE fistula are less likely without additional signs.
Question 4 of 5
The nurse is assessing a newborn infant and observes low set ears, short palpebral fissures, flat nasal bridge and indistinct philtrum. A priority maternal assessment by the nurse should be to ask about
Correct Answer: A
Rationale: Alcohol use during pregnancy. This cluster of facial characteristics is often linked to fetal alcohol syndrome (FAS), which can cause lifelong developmental delays.
Question 5 of 5
A client has gastroesophageal reflux. Which recommendation made by the nurse would be most helpful to the client?
Correct Answer: D
Rationale: Avoid eating 2 hours before going to sleep. Eating before sleeping enhances the regurgitation of stomach contents, which have increased acidity, into the esophagus. An upright posture should be maintained for about 2 hours after eating to allow for the stomach emptying. Options A and C are interventions for clients with swallowing difficulties.