NCLEX NCLEX-PN
2024 Nclex Questions
1. The client is taking rifampin 600mg po daily to treat his tuberculosis. Which action by the nurse indicates understanding of the medication?
- A. Telling the client that the medication will need to be taken with juice
- B. Telling the client that the medication will change the color of the urine
- C. Telling the client to take the medication before going to bed at night
- D. Telling the client to take the medication if night sweats occur
Correct answer: Telling the client that the medication will change the color of the urine
Rationale: The correct answer is telling the client that the medication will change the color of the urine. Rifampin can change the color of the urine and body fluid. Teaching the client about these changes is important as the client might think this is a complication. Answer A is incorrect because there is no specific requirement to take rifampin with juice. Answer C is incorrect because rifampin should be taken at consistent times, not necessarily before going to bed. Answer D is incorrect as rifampin should be taken regularly as prescribed, not based on symptoms like night sweats.
2. While caring for the following clients, a pediatric nurse tells the charge nurse she must leave due to a family emergency. Which client would the charge nurse reassign to an LPN?
- A. An eight-year-old in diabetic ketoacidosis
- B. A six-year-old in sickle cell crisis
- C. A two-month-old with dehydration
- D. A five-year-old in skeletal traction
Correct answer: A five-year-old in skeletal traction
Rationale: The correct answer is a five-year-old in skeletal traction. This task is within the scope of practice for an LPN and would need minimal assistance from an RN. The children with diabetic ketoacidosis, sickle cell crisis, and dehydration require close observation, good assessment skills, IVF needs, and medications that would be better managed by an RN. Reassigning the child in skeletal traction to an LPN ensures appropriate care while allowing the RN to focus on the more critical cases.
3. A patient has been ordered to receive Klonopin for the first time. Which of the following side effects is not associated with Klonopin?
- A. Drowsiness
- B. Ataxia
- C. Salivation elevation
- D. Diplopia
Correct answer: Diplopia
Rationale: The correct answer is 'Diplopia.' While drowsiness, ataxia, and salivation elevation are common side effects associated with Klonopin, diplopia is not typically linked to this medication. Diplopia, or double vision, is not a common side effect reported with the use of Klonopin. It is important to monitor patients for the known side effects such as drowsiness, ataxia, and salivation elevation when administering Klonopin. Choice A, B, and C are incorrect as they are known side effects of Klonopin, unlike diplopia which is not commonly observed with this medication.
4. A man expresses surprise that his wife has become very withdrawn during hospitalization for pneumonia. Which response helps the husband understand how some people cope with hospitalization?
- A. “Hospitalization might cause a crisis. Has your wife had to cope with problems before this?”
- B. “Some people react that way. She will be more talkative when she feels better.”
- C. “Your wife might be feeling concern that she cannot fulfill her normal roles.”
- D. “This is typical behavior for someone who is as ill as your wife.”
Correct answer: “Hospitalization might cause a crisis. Has your wife had to cope with problems before this?”
Rationale: The correct response acknowledges that hospitalization can lead to a crisis for both patients and their families. By asking if the wife has coped with problems before, it opens up a dialogue about her coping mechanisms and past experiences. This can help the husband understand his wife's current behavior better and provide valuable insights. Choices B, C, and D do not directly address the potential crisis that hospitalization can cause or inquire about the wife's coping strategies, making them less effective responses.
5. A client with a nasogastric (NG) tube begins vomiting. What action should the nurse take?
- A. Retape the NG tube.
- B. Clamp the NG tube.
- C. Remove the NG tube.
- D. Check the NG tube placement.
Correct answer: Check the NG tube placement.
Rationale: When a client with a nasogastric (NG) tube begins vomiting, the nurse should first check the NG tube placement. Vomiting can be a sign of tube displacement, which can lead to serious complications. Retaping the tube (Choice A), clamping it (Choice B), or removing it (Choice C) without first assessing its placement can be harmful or ineffective. Checking the NG tube placement is crucial as it ensures that the tube is in the correct position and prevents potential complications. Retaping the NG tube (Choice A) is incorrect because the priority is to check the placement first. Clamping the NG tube (Choice B) or removing it (Choice C) without verifying the placement can be dangerous if the tube is dislodged. Thus, these actions should not be taken before confirming the tube's position.
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