NCLEX Practice Questions PN
Question 1 of 5.
Which interventions does the nurse perform to promote normal rest and sleep patterns for a critically ill client? Select all that apply.
A. Dimming the lights at night
B. Leaving the television on for diversion at night
C. Opening the window blinds/shades in the morning
D. Scheduling interventions and activities during the day when possible
E. Turning off equipment alarms in the client's room at night
Explanation: Dimming lights (A), opening blinds in the morning (C), and scheduling activities during the day (D) promote circadian rhythms and rest. Leaving the TV on (B) may disrupt sleep, and turning off alarms (E) compromises safety.
Question 2 of 5.
The nurse is giving home care to a 69-year-old client who has severe arthritis. Which comment made by the client would indicate to the nurse that the client is experiencing normal changes associated with the aging process?
A. I have such a hard time with the pain in my feet and knees.
B. I have had loose stools for the last few months.
C. My children say I keep my apartment too warm.
D. I have a hard time at night because the lights are all big and fuzzy.
Explanation: Feeling cold and preferring a warmer environment is a normal age-related change due to decreased thermoregulation. Pain, loose stools, and visual changes may indicate pathology requiring further investigation.
Question 3 of 5.
Diphenoxylate hydrochloride with atropine sulfate (Lomotil) is prescribed for a client. The nurse knows that the drug is prescribed for which of these problems the client has?
A. Diarrhea
B. Hypertension
C. Depression
D. Tachycardia
Explanation: Lomotil is an antidiarrheal, slowing intestinal motility to reduce diarrhea.
Question 4 of 5.
An adult is admitted with nausea, vomiting, and diarrhea. The client is receiving an IV of dextrose 5% in water with 40 mEq of KCl. The nurse knows the potassium is added to do which of the following?
A. Replace potassium lost because of vomiting and diarrhea
B. Replace potassium that the client is not getting from his diet
C. Stop the nausea
D. Stop the diarrhea
Explanation: Vomiting and diarrhea cause significant potassium loss, requiring IV potassium replacement to prevent hypokalemia.
Question 5 of 5.
An adult who has newly diagnosed angina has been prescribed sublingual nitroglycerin. What should be included in the nurse's teaching about the medication? Select all that apply.
A. Put the tablets under your tongue and let them dissolve.
B. Keep the tablets in a dark glass container.
C. You can take one tablet, and if you still have pain, you can take another tablet in 10 minutes.
D. Be sure to take nitroglycerin while you are standing up.
E. You may get a headache shortly after you take the medication,
F. If your tongue tingles spit out the tablet.
Explanation: Sublingual nitroglycerin is dissolved under the tongue, stored in dark glass to maintain potency, and may cause headaches as a side effect.
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