NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A client arrived in the USA from a developing country 1 week ago. The client is to be admitted to the medical surgical unit with a diagnosis of AIDS. There is a history of these findings: unintended weight loss, drug abuse, night sweats, productive cough, and a 'feeling of being hot all the time.' The nurse should assign the client to share a room with a client with the diagnosis of
Correct Answer: A
Rationale: Acute tuberculosis with a productive cough of discolored sputum for over three months. The client being admitted has the classic findings of pulmonary tuberculosis. Of the available choices, the client in option A would be the most appropriate roommate. It is acceptable to put clients with similar diagnoses in the same room when no other alternative exists. Clients are considered contagious until the cough is eliminated with medications, which initially is a combination of 4 simultaneous drugs.
Question 2 of 5
The nurse is caring for a client who had a right below-the-knee amputation three days ago. The client complains of pain in the right foot and asks for pain medication. What nursing action is appropriate initially?
Correct Answer: C
Rationale: Phantom limb pain, common post-amputation, is real pain; administering ordered pain medication addresses it effectively. Elevation, placebos, or discussion are less appropriate initially.
Extract:
Mrs. A is a 40-year-old woman who reports menstrual irregularities and believes she is experiencing an early menopause. She reports feeling fatigue and restless at times. Physical findings reveal a thin woman with fine hair, moist, warm skin, and a goiter with bruit present. Heart rate is 110; BP 140/80.
Question 3 of 5
These findings are consistent with:
Correct Answer: B
Rationale: Symptoms and findings like goiter, tachycardia, and moist skin indicate Grave's disease (hyperthyroidism).
Extract:
Question 4 of 5
A 14-month-old is receiving Digoxin (Lanoxin) and Lasix (Furosemide) twice a day. In planning his care, the nurse should assess for which complication?
Correct Answer: A
Rationale: Furosemide is a loop diuretic that can cause hypokalemia, which is dangerous in clients taking digoxin, as it increases digoxin toxicity risk.
Question 5 of 5
A client who is 12 hour post-op becomes confused and says: 'Giant sharks are swimming across the ceiling.' Which assessment is necessary to adequately identify the source of this client's behavior?
Correct Answer: C
Rationale: Pulse oximetry. A sudden change in mental status in any post-op client should trigger a nursing intervention directed toward respiratory evaluation. Pulse oximetry would be the initial assessment. If available, arterial blood gases would be better. Acute respiratory failure is the sudden inability of the respiratory system to maintain adequate gas exchange which may result in hypercapnia and/or hypoxemia. Clinical findings of hypoxemia include these findings which are listed in order of initial to later findings: restlessness, irritability, agitation, dyspnea, disorientation, confusion, delirium, hallucinations, and loss of consciousness.