NCLEX-PN
Quizlet NCLEX PN 2023 Questions
Extract:
Question 1 of 5
A patient has recently been prescribed Norvasc. Which of the following side effects should the patient specifically watch out for?
Correct Answer: A
Rationale: The correct answer is 'Hypotension and Angina.' Norvasc is a medication known to cause hypotension (low blood pressure) and angina (chest pain) as side effects. These side effects are important for the patient to watch out for as they can indicate potential issues related to the medication.
Choice B ('Hypertension') is incorrect as Norvasc is actually used to treat hypertension, not cause it.
Choice C ('Lower extremity edema') is not a common side effect of Norvasc.
Choice D ('Peripheral sensory loss and SOB') is not typically associated with Norvasc's side effects.
Question 2 of 5
Jane Love, a 35-year-old gravida III para II at 23 weeks gestation, is seen in the Emergency Department with painless, bright red vaginal bleeding. Jane reports that she has been feeling tired and has noticed ankle swelling in the evening. Laboratory tests reveal a hemoglobin level of 11.5 g/dL. After evaluating the situation, the nurse determines that Jane is at risk for placenta previa, based on which of the following data?
Correct Answer: C
Rationale: Placenta previa is a disorder where the placenta implants in the lower uterine segment, causing painless bleeding in the third trimester of pregnancy. The bleeding results from tearing of the placental villi from the uterine wall as the lower uterine segment contracts and dilates. It can be slight or profuse and can include bright red, painless bleeding. While anemia (choice
A) may be a consequence of chronic bleeding from placenta previa, it is not a direct indicator. Edema (choice
B) and fatigue (choice
D) are nonspecific symptoms that can occur in pregnancy but are not specific to placenta previa.
Question 3 of 5
A patient has fallen off a bicycle and fractured the head of the proximal fibula. A cast was placed on the patient's lower extremity. Which of the following is the most probable result of the fall?
Correct Answer: A
Rationale: The correct answer is peroneal nerve injury. The head of the proximal fibula is in close proximity to the peroneal nerve, making it susceptible to injury when there is a fracture. The peroneal nerve runs along the fibula and can be affected by trauma to this area.
Choice B, tibial nerve injury, is incorrect as the fracture site is closer to the peroneal nerve, not the tibial nerve.
Choice C, sciatic nerve injury, is incorrect as the injury is more localized to the fibular head area where the peroneal nerve is affected.
Choice D, femoral nerve injury, is incorrect as the femoral nerve is not immediately adjacent to the proximal fibula and is not typically affected by this type of injury.
Question 4 of 5
Which physiologic mechanism best describes the function of the sodium-potassium pump?
Correct Answer: A
Rationale: Active transport is the correct answer as it accurately describes the process involved in the sodium-potassium pump. The pump utilizes energy to move ions against their concentration gradient, maintaining cellular concentrations. Diffusion (choice
B) is a passive process where substances move from an area of higher concentration to lower concentration. Filtration (choice
C) involves the movement of solutes based on pressure gradients. Osmosis (choice
D) is the movement of water across a semipermeable membrane.
Question 5 of 5
A 64-year-old Alzheimer's patient has exhibited excessive cognitive decline resulting in harmful behaviors. The physician orders restraints to be placed on the patient. Which of the following is the appropriate procedure?
Correct Answer: C
Rationale: In cases where restraints are considered necessary for a patient, it is crucial to communicate effectively with both the patient and their family about the reasons for this decision. This helps ensure that all parties involved understand the necessity of restraints and are informed about the potential risks and benefits. Option A, securing restraints to the bed rails on all extremities, is not appropriate as it does not involve proper communication or ethical considerations. Option B, notifying the physician that restraints have been placed properly, overlooks the importance of patient and family involvement in decision-making. Option D, positioning the head of the bed at a 45-degree angle, is unrelated to the use of restraints and does not address the situation at hand.