Exam (elaborations)
NCLEX PN ACTUAL EXAM 2024 QUESTIONS AND ANSWERS WITH RATIONALE.
- Course
- Institution
NCLEX PN ACTUAL EXAM 2024 QUESTIONS AND ANSWERS WITH RATIONALE.
[Show more]
3 reviews
By: estrellahernandez • 2 weeks ago
By: sback82 • 2 months ago
Amazing. It is exactly what it claims to be! An absolute life saver!
By: ishaconteh41 • 6 months ago
Seller
Follow
Yongsam
Reviews received
Content preview
NCLEX PN ACTUAL EXAM 2024 QUESTIONSAND ANSWERS WITH RATIONALE.
Question 1:
A client with diabetes is admitted to the hospital with hyperglycemia. The nurse is aware that which of the following insulin types has the quickest onset of action?
A) Regular insulin
B) NPH insulin
C) Lispro insulin
D) Glargine insulin
Answer 1:
C) Lispro insulin
Rationale:
Lispro insulin has a rapid onset of action, typically within 15 minutes of administration. This makes it an appropriate choice for controlling postprandial hyperglycemia. Regular insulin has a slower onset, NPH insulin is intermediate-
acting, and Glargine insulin has a slow and steady release with no pronounced peak.
Question 2:
A client with chronic kidney disease is prescribed a phosphate binder. Which medication is commonly used to reduce serum phosphate levels in patients with renal impairment?
A) Furosemide
B) Calcium carbonate
C) Aluminum hydroxide
D) Metolazone Answer 2:
C) Aluminum hydroxide
Rationale:
Aluminum hydroxide is a phosphate binder commonly used in patients with renal impairment. It works by binding to dietary phosphate in the GI tract, preventing its absorption. Furosemide is a loop diuretic, calcium carbonate is not typically used for phosphate binding, and metolazone is a thiazide diuretic.
Question 3:
A postoperative client receiving patient-controlled analgesia (PCA) reports feeling lightheaded and dizzy. The nurse's initial action should be to:
A) Administer an antiemetic
B) Assess the respiratory rate
C) Increase the PCA dose
D) Check the blood pressure
Answer 3:
Question 4:
A client with heart failure is prescribed digoxin. The nurse should monitor for which early sign of digoxin toxicity?
A) Nausea and vomiting
B) Hyperkalemia
C) Hypotension
D) Visual disturbances Answer 4:
D) Visual disturbances
Rationale:
Visual disturbances, such as yellow-green halos around lights, are early signs of digoxin toxicity. Nausea and vomiting, hyperkalemia, and hypotension are not specific to digoxin toxicity.
Question 5:
A client with chronic obstructive pulmonary disease (COPD) is prescribed albuterol inhaler. The nurse instructs the client to use the albuterol inhaler before using other inhaled medications. What is the rationale for this instruction?
A) Albuterol enhances the effects of other inhaled medications.
B) Albuterol decreases the risk of bronchoconstriction.
C) Albuterol opens the airways and facilitates better absorption of other medications.
D) Albuterol reduces the risk of systemic side effects.
Answer 5:
C) Albuterol opens the airways and facilitates better absorption of other medications.
Rationale:
Albuterol is a bronchodilator that opens the airways, allowing better penetration and
absorption of other inhaled medications. Using albuterol first can enhance the effectiveness of subsequent medications.
Question 6:
A client with a history of deep vein thrombosis (DVT) is receiving enoxaparin (Lovenox). The nurse should monitor the client for which adverse effect? A) Hyperglycemia
B) Hypertension
C) Thrombocytopenia
D) Hyponatremia
Answer 6:
C) Thrombocytopenia
Rationale:
Thrombocytopenia (a decrease in platelet count) is a potential adverse effect of enoxaparin. Monitoring platelet levels is essential during therapy. Hyperglycemia, hypertension, and hyponatremia are not typically associated with enoxaparin use.
Question 7:
A client with type 2 diabetes is prescribed metformin. The nurse instructs the client to monitor for which common side effect of metformin therapy?
A) Hypertension
B) Weight gain
C) Hypoglycemia
D) Gastrointestinal upset
Answer 7:
D) Gastrointestinal upset
Rationale:
Gastrointestinal upset, including nausea, vomiting, and diarrhea, is a common side effect of metformin. Metformin does not cause hypoglycemia, hypertension, or weight gain.
Question 8:
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Yongsam. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for CA$25.91. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67474 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now