NCLEX Questions, Free PN NCLEX Practice Questions Questions,

Extract:

Question 1 of 5

A client is admitted with low T3 and T4 levels and an elevated thyroid stimulating hormone (TSH) level. On initial assessment, the nurse would anticipate which of the following findings?

Correct Answer: A

Rationale: Lethargy. Hypothyroidism slows metabolism, leading to symptoms like lethargy, constipation, and cold intolerance.

Question 2 of 5

An adult is scheduled for a cardioversion next week. What should the nurse plan to include when teaching the client about the procedure?

A. The client should be NPO for eight hours before the procedure. B. The client will be awake during the procedure. C. The procedure will probably need to be repeated every month for at least six months. D. The procedure is usually done for life-threatening dysrhythmias such as ventricular fibrillation.

Correct Answer: A

Rationale: Cardioversion requires sedation, so the client must be NPO for 8 hours to prevent aspiration. The client is sedated, not awake, it's not typically repeated monthly, and it's used for atrial arrhythmias, not ventricular fibrillation.

Question 3 of 5

Teaching about the need to avoid foods high in potassium is most important for which client?

A. a client receiving diuretic therapy B. a client with an ileus C. a client with metabolic alkalosis D. a client with renal disease

Correct Answer: D

Rationale: Renal disease impairs potassium excretion, leading to hyperkalemia, so avoiding high-potassium foods is critical. The other conditions are more associated with hypokalemia. Physiological Adaptation

Extract:

The patient is admitted to the emergency department and was brought to the unit due to poor diabetic management. The wife asks how they can learn better. They have previously been to a diabetic class without much success.

Question 4 of 5

Which of the following nursing strategy will be appropriate for the client?

A. Arrange a meeting with the health care team. B. Have a one-on-one diabetic teaching with the client. C. Refer the client and wife to group diabetic teaching class. D. Discuss the possibility of having to stay longer in the unit to manage the blood sugar.

Correct Answer: B

Rationale: One-on-one teaching allows tailored education to address specific learning needs.

Extract:

Question 5 of 5

Which of the following injuries, if demonstrated by a client entering the Emergency Department, is the highest priority?

A. open leg fracture B. open head injury C. stab wound to the chest D. traumatic amputation of a thumb

Correct Answer: C

Rationale: A stab wound to the chest is the highest priority due to potential for pneumothorax or mediastinal shift, which can be life-threatening. The ABC (airway, breathing, circulation) principle prioritizes this injury. Physiological Adaptation