NCLEX-PN
PN Nclex Questions 2024 Questions
Extract:
Question 1 of 5
The physician prescribes captopril (Capoten) 25mg po tid for the client with hypertension. Which of the following adverse reactions can occur with administration of Capoten?
Correct Answer: B
Rationale: A persistent cough might be related to an adverse reaction to captopril (Capoten). Tinnitus (choice
A) and diarrhea (choice
D) are not commonly associated adverse reactions of captopril. Muscle weakness (choice
C) might occur initially but is not considered a common adverse effect of captopril.
Therefore, the correct answer is B, persistent cough, as it is a known adverse reaction to captopril.
Question 2 of 5
A client sitting alone and talking to voices is observed by a nurse. When asked, the client reports he is 'talking to the voices.' The nurse's next action should be:
Correct Answer: C
Rationale: When a client reports talking to voices, it can indicate the presence of hallucinations. Asking the client to describe what is happening is a crucial step as it helps the nurse understand the nature of the hallucinations and provides reassurance to the client.
Touching the client without consent is inappropriate and can be distressing. Leaving the client alone may not address the underlying issue, and telling the client there are no voices denies their experience and can lead to mistrust.
Question 3 of 5
After experiencing a traumatic event like losing a child due to poisoning, a client tells the nurse, 'I don’t want to make any new friends right now.' This is an example of which of the following indicators of stress?
Correct Answer: C
Rationale: The correct answer is C: sociocultural indicator. In this situation, the client's reluctance to make new friends after experiencing a traumatic event like losing a child due to poisoning reflects a change in their social behavior, which is influenced by sociocultural factors. This response indicates how stress can impact a person's relationships and social interactions.
Choice A, emotional indicator, is incorrect because the client's statement is more related to social interactions than emotional expression.
Choice B, spiritual indicator, is incorrect as the given scenario does not directly involve spiritual beliefs or practices.
Choice D, intellectual indicator, is also incorrect as the client's statement does not reflect cognitive or intellectual changes but rather social aspects affected by the stressful event.
Question 4 of 5
The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?
Correct Answer: B
Rationale: When addressing suspected abuse, it is crucial to ask direct questions to determine the cause of injuries.
Choice B is the most appropriate as it directly inquires about the possibility of someone grabbing the client's arms, which could indicate abuse. This question can help uncover potential abuse and provide necessary intervention.
Choices A, C, and D are less direct and may not elicit the critical information needed to address abuse effectively. Clients often hesitate to report abuse due to feelings of shame and fear of retaliation, making a direct approach essential in such situations.
Question 5 of 5
Which of the following solutions is routinely used to flush an IV device before and after the administration of blood to a client?
Correct Answer: A
Rationale: The correct answer is 0.9% sodium chloride. Normal saline is 0.9% sodium chloride, which has the same osmolarity as blood and does not cause cell lysis.
Choices 2 and 3, 5% dextrose in water solution and sterile water, are hypotonic solutions that can lead to cell lysis.
Choice 4, Heparin sodium, is an anticoagulant and is not routinely used to flush an IV device before and after the administration of blood.