NCLEX-PN Pre course Study Guide Exam Questions and Verified for Accuracy Answers 2024/2025
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Course
Nclex
Institution
Nclex
NCLEX-PN Pre course Study Guide Exam Questions and Verified for Accuracy Answers 2024/2025
A nurse is caring for a patient undergoing a stress test on a treadmill. The patient turns to talk to the nurse. Which of these statements would require the most immediate intervention?
1. "I'm feeling ...
NCLEX-PN Pre course Study Guide Exam
Questions and Verified for Accuracy
Answers 2024/2025
A nurse is caring for a patient undergoing a stress test on a
treadmill. The patient turns to talk to the nurse. Which of these
statements would require the most immediate intervention?
1. "I'm feeling extremely thirsty. I'm going to get some water
after this."
2. "I can feel my heart racing."
3. "My shoulder and arm is hurting."
4. "My blood pressure reading is 158/80" - correct answer 3.
"My shoulder and arm is hurting."
Correct - Unilateral arm and shoulder pain is one of the classic
symptoms of myocardial ischemia. The stress test should be
halted.
The nurse is reviewing the lab results of a patient who has
presented in the Emergency Room. The lab results show that the
BNP (B-type Natriuretic Peptide) value is a 615 pg/ml. What
would the nurse take as the priority action?
1. Call a cardiac code and implement emergency measures
2. Check the patient's oxygen saturation
3. Inform the physician that the patient has Congestive Heart
Failure
Encourage the patient to limit activity - correct answer 2. Check
the patient's oxygen saturation
,Correct - An elevated BNP indicates that there is decreased
cardiac output. A priority intervention would be to ensure proper
oxygenation after an assessment.
A nurse is caring for a patient after a coronary angiogram. Which
of these actions taken by the nursing assistant would most
require the nurse's immediate intervention?
1. The nursing assistant fills the patient's pitcher with ice cold
drinking water
2. The nursing assistant elevates the head of the bed to 60
degrees for a meal
3. The nursing assistant refills the ice pack laying on the
insertion site
4. The nursing assistant places an extra pillow under the
patient's head on request - correct answer 2. The nursing
assistant elevates the head of the bed to 60 degrees for a meal
Correct - For 3-6 hours after a coronary angiogram (depending
on the insertion site), the patient should have their bed no higher
than 30 degrees and be on bedrest.
A man is has been taking lisinopril for CHF. The patient is seen
in the emergency room for persistent diarrhea. The nurse is
concerned about which side effect of lisinopril?
,Correct - The patient is particularly at risk for hypotension due to
possible dehydration from fluid loss.
The nurse is taking the health history of a patient being treated
for sickle cell disease. After being told the patient has severe
generalized pain, the nurse expects to note which assessment
finding?
1. Severe and persistent diarrhea
2. Intense pain in the toe
3. Yellow-tinged sclera
4. Headache - correct answer 3. Yellow-tinged sclera
Correct - Jaundice is a common clinical finding of sickle cell
disease, caused by bilirubin released from damaged or destroyed
RBCs
A client with Multiple Sclerosis reports a constant, burning,
tingling pain in the shoulders. The nurse anticipates that the
physician will order which medication for this type of pain?
1. alprazolam (Xanax)
2. Corticosteroid injection
3. gabapentin (Neurontin)
4. hydrocodone/acetaminophen (Norco) - correct answer 3.
gabapentin (Neurontin)
Correct - Anticonvulsants like gabapentin are often the first line
of treatment for nerve pain
, Which of these clients is likely to receive sublingual morphine?
1. A 75-year-old woman in a hospice program
2. A 40-year-old man who just had throat surgery
3. A 20-year-old woman with trigeminal neuralgia
4. A 60-year-old man who has a painful incision - correct answer
1. A 75-year-old woman in a hospice program
Correct - Sublingual morphine is often used in hospice because
the patients are unable to swallow, and intravenous access can
be painful and not conducive to palliative care.
In educating clients on ways to manage pain, which topic can be
appropriately delegated to a LPN/LVN who will continue under
supervision?
1. Acupuncture
2. Guided Imagery
3. Alternating Rest/Activity
4. Over the counter medications - correct answer 3. Alternating
Rest/Activity
Correct - This is within the nursing scope of practice and within
the training and education provided to all nurses. It is safe to use
and a standard treatment.
The nurse assesses a patient suspected of having an asthma
attack. Which of the following is a common clinical manifestation
of this condition?
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