NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
A patient's chart indicates a history of hyperkalemia.
Question 1 of 5
Which of the following would you not expect to see with this patient if these conditions were acute?
Correct Answer: D
Rationale: Migraines are not typically associated with acute hyperkalemia, unlike the other symptoms.
Extract:
Question 2 of 5
The nurse is preparing to administer a dose of prednisone to a client with rheumatoid arthritis. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Prednisone, a corticosteroid, can cause gastric irritation, so taking it with food minimizes GI upset. Empty stomach (
A) increases irritation, stopping abruptly (
B) risks adrenal crisis, and potassium (
D) is relevant for diuretics, not corticosteroids.
Question 3 of 5
A postpartum client requires teaching about breast-feeding. To prevent breast engorgement, the nurse should instruct her to:
Correct Answer: C
Rationale: Frequent breast-feeding empties the breasts and increases circulation, helping to remove fluid that may lead to engorgement. If the infant isn't ill or physically impaired and can breast-feed, the client shouldn't use an electric breast pump because this deprives the infant of optimal sucking and skin-to-skin contact with the mother. Applying warm, moist compresses stimulates the let-down reflex and causes the breasts to fill, which may lead to engorgement. A brassiere supports the breasts but doesn't prevent engorgement.
Question 4 of 5
Which laboratory result would concern the nurse caring for a client who is receiving furosemide (Lasix)?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, can cause hypokalemia. A potassium level of 2.5 mEq/L is critically low and concerning, risking arrhythmias. Sodium 140, glucose 110, and calcium 8 are within normal ranges.
Question 5 of 5
An elderly client with peripheral vascular disease has been using a heating pad. The first sign of thermal injury related to the use of a heating pad or a hot compress is:
Correct Answer: B
Rationale: Redness is the earliest sign of thermal injury due to vasodilation and inflammation. Swelling, blanching, and blisters appear later.