NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
You are asked to see Mr. J, a 45-year-old male admitted to the medical floor. He has a temperature of 103°F, complains of urgency, frequency, and perineal pain. He states his urine is somewhat cloudy in appearance. Mr. K denies any trauma to the genital area. On physical assessment, Mr. J appears acutely ill, flank tenderness is negative to percussion, abdominal assessment is unrevealing. Rectal exam reveals a tender prostate.
Question 1 of 5
You anticipate all of the following to be ordered except:
Correct Answer: D
Rationale: The patient's symptoms are suggestive of prostatitis, likely infectious. PSA is not typically ordered in acute infection as it is more relevant for prostate cancer screening.
Extract:
To assess the effectiveness of a vasodilator administered to lower hypertension
Question 2 of 5
The nurse should take the client's pulse and blood pressure:
Correct Answer: B
Rationale: Checking 30 minutes post-administration assesses the drug's peak effect on blood pressure.
Extract:
Question 3 of 5
The nurse is caring for a client with a new order for bupropion (Wellbutrin) for treatment of depression. The order reads 'Wellbutrin 175 mg. HD x 4 days.' What is the appropriate action?
Correct Answer: B
Rationale: Bupropion (Wellbutrin) should be started at 100 mg BD for three days then increased to 150 mg BD. When used for depression, it may take up to four weeks for results. Common side effects are dry mouth, headache, and agitation. Doses should be administered in equally spaced time increments throughout the day to minimize the risk of seizures.
Question 4 of 5
A client is receiving chemotherapy for cancer and develops thrombocytopenia. What should the nurse include in the client's plan of care because of the thrombocytopenia?
Correct Answer: C
Rationale: Thrombocytopenia increases bleeding risk; avoiding injections prevents hematomas or hemorrhage. Positioning, fluid limits, or exercise don't address bleeding risk.
Question 5 of 5
A client who has hypokalemia asks the nurse for dietary advice on what foods would help this problem. What should the nurse tell the client?
Correct Answer: B
Rationale: Oranges, bananas, and prunes are potassium-rich, directly addressing hypokalemia through dietary intake.