NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
While assessing an Rh positive newborn whose mother is Rh negative, the nurse recognizes the risk for hyperbilirubinemia. Which of the following should be reported immediately?
Correct Answer: C
Rationale: The elevated bilirubin is in the range that requires immediate intervention, such as phototherapy. At a serum bilirubin of 12 mg, the neonate is at risk for the development of kernicterus, or bilirubin encephalopathy. The provider determines the therapy appropriate after reviewing all laboratory findings.
Question 2 of 5
The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephrotic syndrome. The nurse should:
Correct Answer: A
Rationale: Cyclophosphamide is nephrotoxic; extra fluids promote excretion and reduce bladder toxicity. Low-protein diets are not indicated, mild soap is unrelated, and joints are not typically inflamed in nephrotic syndrome.
Extract:
The physician orders high protein, high calorie and high salt diet on Valerie.
Question 3 of 5
When ask by the patient, the nurse would explain that
Correct Answer: D
Rationale: Lack of mineralcorticoids (aldosterone) leads to a loss of sodium ions in the urine and subsequent hyponatremia, necessitating a high salt diet.
Extract:
Marie is a 38-year-old primigravida who is admitted with a diagnosis of pregnancy induced hypertension (PIH).
Question 4 of 5
Priority nursing care on the patient with PIH include:
Correct Answer: C
Rationale: Low urine output (335 ml/24 hours) indicates possible renal involvement in PIH, a priority for monitoring and reporting to prevent further complications.
Extract:
Question 5 of 5
Dual diagnosis indicates that there is a substance abuse problem as well as a
Correct Answer: B
Rationale: Dual diagnosis is the concurrent presence of a major psychiatric disorder and chemical dependence.