NCLEX-PN Exam Questions Instant Access - No Installation Required

Question 1

A client needs to rapidly achieve a therapeutic plasma drug concentration of a medication. Rather than wait for steady state to be achieved, the physician might order:

Aa maintenance dose.

Ba loading dose.

Ca medication with no first-pass effect.

Dthe medication to be given intravenously.

Answer : B

A loading or priming dose rapidly establishes a therapeutic plasma drug level. It can be calculated by multiplying the volume of distribution by the desired plasma drug concentration. A maintenance dose maintains a therapeutic level after the loading dose. It takes five drug half-lives to achieve steady state if no loading dose is given. Choice 3 is similar to a maintenance dose. Intravenous administration provides excellent drug bioavailability, but one dose will not achieve a therapeutic plasma level.Pharmacological Therapies

Question 2

The nurse is using Cognitive-Behavioral methods of pain control and knows that the these methods can be expected to do all the following except:

Acompletely relieve all pain.

Bprovide benefit by restoring the client's sense of self-control.

Chelp the client to control symptoms.

Dhelp the client actively participate in his or her own care.

Answer : A

These interventions (strategies) help the client in all areas of client well-being. Focusing on perception and thought, cognitive techniques are designed to influence how one interprets events and bodily sensations.BasicCare and Comfort

Question 3

Which of the following is one of the main goals for Healthy People 2010?

Areduction of health care costs

Belimination of health disparities

Cinvestigation of substance abuse

Ddetermination of an acceptable morbidity rate

Answer : B

Healthy People 2010has as its main goal elimination of health disparities among the U.S. population.Healthy People 2010is a set of health objectives for the nation to achieve over the first decade of the twenty-first centuryand was developed by the Surgeon General's office. Earlier editions of this report,Healthy PeopleandHealthy People 2000: National Health Promotion and Disease Prevention Objectivesestablished national health objectivesand served as the basis for the development of state and community plans.Health Promotion and Maintenance

Question 4

Which of the following foods might a client with a hypercholesterolemia need to decrease his or her intake of?

Abroiled catfish

Bhamburgers

Cwheat bread

Dfresh apples

Answer : B

Due to the high cholesterol content of red meats, such as hamburger, intake needs to be decreased. The other

options do not have high cholesterol content, so they do not need to be decreased.Reduction of Risk Potential

Question 5

A nurse is reviewing a patient's current Lithium levels. Which of the following values is outside the therapeutic range?

A1.0 mEq/L

B1.1 mEq/L

C1.2 mEq/L

D1.3 mEq/L

Answer : D

1.0-1.2 mEq/L is considered standard therapeutic range for patient care.

Question 6

Distribution of a drug to various tissues is dependent on the amount of cardiac output to each type of tissue. Which tissue would receive the highest amount of cardiac output and thus the highest amount of a drug?

Askin

Badipose tissue

Cskeletal muscle

Dmyocardium

Answer : D

Highly perfused tissue includes all vital organs: the brain, heart, kidneys, adrenal glands, and liver. Choices 1,

2, and 3 are incorrect because the skin and adipose tissue are poorly perfused, while the skeletal muscle is better

perfused.Pharmacological Therapies

Question 7

Which isolation procedure will be followed for secretions and blood?

ARespiratory

BStandard Precautions

CContact Isolation

DDroplet

Answer : B

Standard precautions are taken in all situations for all clients and involve all body secretions except sweat and

are designed to reduce the rate of transmission of microbes from one host to another or one source (environment

such as the client's bedside table) to another.Safety and Infection Control

NCLEX National Council Licensure Examination(NCLEX-PN) NCLEX-PN Exam Questions