NCLEX-PN Test #24 Flashcards
6 cards from real NCLEX practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 NCLEX-PN Test #24 flashcards as text
A nurse is caring for a client receiving continuous bladder irrigation (CBI) after a transurethral resection of the prostate (TURP). Which finding requires immediate nursing action?
Answer: No drainage output despite continuous irrigation inflow
No output despite continuous irrigation inflow indicates catheter obstruction, which can cause bladder distension and requires immediate intervention.
A client is admitted with suspected myocardial infarction. Which laboratory test result provides the most specific marker for cardiac muscle damage?
Answer: Elevated troponin I level
Troponin I is the most specific biomarker for myocardial injury and is the gold standard for diagnosing myocardial infarction.
A nurse is reinforcing teaching for a client prescribed levothyroxine (Synthroid). Which instruction is most important?
Answer: Take it on an empty stomach 30-60 minutes before breakfast
Levothyroxine should be taken on an empty stomach 30-60 minutes before breakfast because food and certain supplements interfere with its absorption.
A nurse is caring for a 3-year-old child admitted with croup. Which assessment finding indicates worsening respiratory distress?
Answer: Stridor at rest with intercostal retractions
Stridor at rest accompanied by intercostal retractions indicates significant airway obstruction and worsening respiratory distress.
A nurse is teaching a group of nursing students about Addison's disease. Which clinical manifestation is most characteristic?
Answer: Bronze skin hyperpigmentation and hypotension
Addison's disease (adrenal insufficiency) is characterized by bronze skin hyperpigmentation due to excess ACTH and hypotension due to cortisol and aldosterone deficiency.
A client is receiving IV potassium chloride replacement. Which safety precaution is most critical?
Answer: Always dilute and administer via infusion pump at a controlled rate
IV potassium must always be diluted and administered via infusion pump at a controlled rate because rapid administration can cause fatal cardiac arrest.