NCLEX-PN
NCLEX PN Exam Cram Questions
Extract:
Question 1 of 5
A 15-year-old high school wrestler has been taking diuretics to lose weight to compete in a lower weight class. Which of the following medical tests is most likely to be given?
Correct Answer: A
Rationale: Diuretics can disrupt the sodium and potassium balance, potentially leading to cardiac complications. Monitoring the lab values of potassium and sodium is crucial to assess electrolyte imbalances due to diuretic use. Testing glucose and hemoglobin levels is not directly related to diuretic use in this context. An ECG would be indicated if there were signs or symptoms of cardiac abnormalities, but it is not the primary test to monitor the effects of diuretics. A CT scan is not typically used to assess electrolyte imbalances caused by diuretics.
Question 2 of 5
The factor that most determines drug distribution is:
Correct Answer: A
Rationale: The correct answer is 'vascular perfusion of the tissue or organ.' Drug distribution is primarily determined by how well the circulatory system delivers the drug to various tissues and organs. Adequate perfusion ensures proper distribution of the drug throughout the body. While the salt form (choice
B), drug interactions (choice
C), and steady state (choice
D) can influence drug efficacy and metabolism, they are not as crucial as vascular perfusion for the initial distribution of a drug.
Question 3 of 5
What skin color does a client with jaundice have?
Correct Answer: C
Rationale: The correct answer is C: yellow. Jaundice is a condition characterized by yellowing of the skin due to increased levels of bilirubin in the blood. This excess bilirubin causes the skin and whites of the eyes to appear yellow.
Choice A, pale, is not typically associated with jaundice.
Choice B, ruddy, describes a reddish skin color and is not indicative of jaundice.
Choice D, pink, is a normal skin color and not a symptom of jaundice.
Question 4 of 5
When placing an IV line in a patient with active TB and HIV, which safety equipment should the nurse wear?
Correct Answer: D
Rationale: When dealing with a patient with active TB and HIV, the nurse should wear goggles, a mask, gloves, and a gown to protect themselves from potential exposure to infectious agents through respiratory secretions or blood. Surgical cap and proper shoewear are not specifically required for this procedure, making option B incorrect. Double gloving is not necessary in this scenario, hence option C is incorrect.
Therefore, the correct choice is D as it includes all the essential protective equipment for this situation.
Question 5 of 5
A young female teenager describes a brutal assault and rape to the nurse on duty. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: In a situation where a patient describes a brutal assault and rape, the first priority should be to provide emotional support and create a safe and supportive environment. This helps the patient feel secure and cared for, which is crucial for their well-being at that moment. Checking with the case manager about police intervention should come after ensuring the patient's immediate emotional needs are addressed. Cleaning the patient's wounds, though important, can be secondary to providing emotional stabilization. Referring the patient to a counselor specializing in trauma is also crucial for long-term support, but the immediate focus should be on providing emotional support and stability.