NCLEX PN Practice Questions Free 2019 / 2020 55th Edition - NCLEX Exam NCLEX PN Practice Questions Free 2019 / 2020 55th Edition - NCLEX Exam

NCLEX PN Practice Questions Free 2019 / 2020 55th Edition

NCLEX PN Practice Questions Free 2019 / 2020 55th Edition


NCLEX PN Practice Questions Free 2019 / 2020 55th Edition


1. A 15-year-old client who is pregnant will be treated by a dermatologist for acne. The nurse understands that which of the following treatments for acne will most likely be avoided with this client?

A. Topical erythromycin
B. Exfoliation
C. Cleansing with antibacterial soap
D. Oral tetracycline hydrochloride (Achromycin)

Answer: D. Oral tetracycline hydrochloride (Achromycin)

Rationale: Tetracycline is avoided during pregnancy because it may cause discoloration of the child’s teeth when they erupt. Options 1, 2, and 3 are acceptable measures to treat acne during pregnancy.

Test-Taking Strategy: Note the key word avoided. Focus on the safety factor of the fetus. Note that the only option that addresses oral use of a medication is option D. This would present the greatest risk to the fetus. Review the treatment for acne in a pregnant client if you had difficulty with this question.

Level of Cognitive Ability: Comprehension
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Planning
Content Area: Maternity/Antepartum
Reference: Hodgson, B., & Kizior, R. (2005). Saunders nursing drug handbook 2005. Philadelphia: W.B. Saunders, p. 1025.



2. Iodine solution (Lugol’s solution) is prescribed for a client. The client calls the nurse at the clinic and complains of a brassy taste and burning sensations in the mouth. The nurse tells the client to:

A. Continue with the medication
B. Take half of the prescribed dose for the next 24 hours
C. Stop the medication for the next 24 hours and then continue as prescribed
D. Contact the physician

Answer: D. Contact the physician

Rationale: Chronic ingestion of iodine can produce iodism. The client needs to be instructed about the symptoms of iodism, which include a brassy taste, burning sensations in the mouth, soreness of gums and teeth, frontal headache, coryza, salivation, and skin eruptions. The client should be instructed to notify the physician if these symptoms occur.

Test-Taking Strategy: Use the process of elimination. Eliminate options 2 and 3 first because the nurse cannot legally alter medication prescriptions without a physician’s order. Considering the client symptoms presented in the question, eliminate option 1 as a reasonable choice. Review the adverse effects of iodine solution if you had difficulty with this question.

Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Pharmacology
Reference: Lehne, R. (2004). Pharmacology for nursing care (5th ed.). Philadelphia: W.B. Saunders, p. 629.



3. A client diagnosed with hypothyroidism is taking levothyroxine (Synthroid). The client returns to the clinic 1 week after beginning the medication and tells the nurse that the medication has not helped. The appropriate nursing response to the client is based on which of the following?

A. A higher dosage is required
B. The medication may need to be changed
C. Full therapeutic effect may take 1 to 3 weeks
D. Full therapeutic effect may take up to 4 months

Answer: C. Full therapeutic effect may take 1 to 3 weeks

Rationale: Levothyroxine is used in the treatment of hypothyroidism. Although therapy with levothyroxine may begin with small doses that are gradually increased, the most appropriate response is to inform the client that full therapeutic effect may take 1 to 3 weeks. Options 1, 2, and 4 are inaccurate.

Test-Taking Strategy: Use the process of elimination. Eliminate options 1 and 2 first because they are similar. To select from the remaining options, recall the therapeutic action of levothyroxine. Remember that full therapeutic effect may take 1 to 3 weeks. Review this medication if you had difficulty with this question.

Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Pharmacology
Reference: Hodgson, B., & Kizior, R. (2005). Saunders nursing drug handbook 2005. Philadelphia: W.B. Saunders, p. 633.



4. Somatrem (Protropin) is prescribed for a client with pituitary dwarfism. The nurse tells the client that the expected outcome of the medication is:

A. Growth that begins in 4 to 5 years
B. An increase in height, which will begin in adulthood
C. An immediate increase in growth
D. Growth spurts that occur every 2 years

Answer: C. An immediate increase in growth

Rationale: Somatrem is a growth hormone used in the treatment of dwarfism. When treatment is started, height may increase by as much as 6 inches. To monitor treatment, height and weight should be measured monthly.

Test-Taking Strategy: Use the process of elimination. Options 1, 2, and 4 are similar in that each identifies lengthy and specific time frames related to the expected outcome of the medication. Review the expected outcome of somatrem if you had difficulty with this question.

Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Pharmacology
Reference: Hodgson, B., & Kizior, R. (2005). Saunders nursing drug handbook 2005. Philadelphia: W.B. Saunders, p. 981.



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