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
All of the following factors, when identified in the history of a family, are correlated with poverty except:
Correct Answer: D
Rationale: Poverty is associated with lack of access to preventive dental care, leading to a high incidence of dental problems. The other factors are directly correlated with poverty due to limited healthcare access and resources. Health Promotion and Maintenance
Question 3 of 5
The nurse is performing an assessment on a client who is cachectic and has developed an enterocutaneous fistula following surgery to relieve a small bowel obstruction. The client's total protein level is reported as 4.5 g/dl. Which of the following would the nurse anticipate?
Correct Answer: C
Rationale: The client is not absorbing nutrients adequately as evidenced by the cachexia and low protein levels. (A normal total serum protein level is 6.0-8.0 g/dl.) TPN will promote a positive nitrogen balance in this client who is unable to digest and absorb nutrients adequately.
Extract:
A patient is suspected of having thrombophlebitis of the left lower extremity.
Question 4 of 5
During the initial assessment the nurse should specifically observe the patient for:
Correct Answer: A
Rationale: Edema is a hallmark sign of thrombophlebitis due to venous obstruction.
Extract:
Question 5 of 5
A client with newly diagnosed breast cancer asks the nurse, 'Why me? I've always been a good person. What have I done to deserve this?' Which response by the nurse would be most therapeutic?
Correct Answer: D
Rationale: Listening, responding quickly, and providing support promote therapeutic communication. Offering to talk about the client's feelings validates those feelings and allows the client to express them. Options 1 and 2 ignore the client's feelings. Option 3 identifies the client's feelings but doesn't follow through by exploring them.