NCLEX Questions, Free NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free NCLEX-PN Practice Questions Questions

Extract:


Question 1 of 5

A 38-year-old woman, mother of two, has a mastectomy for breast cancer. When she returns to the physician's office a month later for a routine check-up, the nurse asks the client how she has been. Which of the following responses, if made by the client to the nurse, indicates that the client is experiencing a normal reaction to the surgery?

Correct Answer: B

Rationale: One month post-mastectomy, emotional responses like difficulty coping and frequent crying are normal as the client processes grief and body image changes. Helping family (
A) or returning to work (
D) suggest advanced coping stages premature at this point, and social withdrawal (
C) indicates an abnormal reaction.

Question 2 of 5

The nurse is working in a high risk antepartum clinic. A 40 year-old woman in the first trimester gives a thorough health history. Which information should receive priority attention by the nurse?

Correct Answer: D

Rationale: Over-the-counter drugs are a possible danger in early pregnancy. A report by the client that she has taken medications should be followed up immediately.

Question 3 of 5

The nurse is caring for a client who underwent a lumbar laminectomy 24 hours ago. Which of the following interventions is MOST important?

Correct Answer: D

Rationale: Urinary retention is a common complication post-laminectomy due to spinal anesthesia or nerve irritation, requiring close monitoring to prevent bladder distension. Ambulation (
A) and analgesics (
C) are important, and flat positioning (
B) is recommended but secondary to bladder assessment.

Extract:

A nurse is administering a shot of Vitamin K to a 3-month-old infant.


Question 4 of 5

Which of the following target areas is the most appropriate?

Correct Answer: C

Rationale: The vastus lateralis is the most appropriate location for intramuscular injections in infants due to its large muscle mass and lack of major nerves.

Extract:

The nurse has performed the initial assessments of 4 patients admitted with an acute episode of asthma.


Question 5 of 5

Which assessment finding would cause the nurse to call the health provider immediately?

Correct Answer: B

Rationale: Acute asthma is characterized by expiratory wheezes. Sudden cessation of wheezing is an ominous sign indicating that the small airways are collapsed, requiring immediate intervention.

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