NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident. Which of the following symptoms should the nurse expect to see INITIALLY?
Correct Answer: D
Rationale: Subdural hematoma and cerebral edema initially cause a decreased level of consciousness (e.g., confusion, stupor) due to increased intracranial pressure (ICP). Unequal pupils (
A), decerebrate posturing (
B), and seizures (
C) are later signs of severe ICP or brainstem damage.
Extract:
Which of the following is the appropriate narcotic-analgesic ordered to provide pain relief on the patient with pancreatitis?
Question 2 of 5
Codeine 30 mgs.
Correct Answer: C
Rationale: Demerol is preferred for pancreatitis to avoid morphine's effect on the sphincter of Oddi.
Extract:
Question 3 of 5
An adult who is undergoing diagnostic tests to diagnose a possible malignancy angrily says to the nurse, 'You don't know anything. I want someone competent caring for me.' What is the best initial nursing response?
Correct Answer: B
Rationale: Acknowledging the client's distress validates their feelings, de-escalating anger and fostering therapeutic communication.
Question 4 of 5
Assessment of the client with an arteriovenous fistula for hemodialysis should include:
Correct Answer: B
Rationale: Palpating a thrill confirms the patency of an AV fistula. Visible pulsation is not typical, percussion is irrelevant, and blood pressure is not auscultated in the fistula limb. Physiological Adaptation
Question 5 of 5
A client is scheduled for an Intravenous Pyelogram (IVP). In order to prepare the client for this test, the nurse would
Correct Answer: C
Rationale: Administer a laxative to the client the evening before the examination. Bowel prep is important because it will allow greater visualization of the bladder and ureters.