NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client is experiencing hallucinations that are markedly increased at night. The client is very frightened by the hallucinations. The client's partner asked to stay a few hours beyond the visiting time, in the client's private room. What would be the best response by the nurse demonstrating emotional support for the client?
Correct Answer: C
Rationale: Yes, staying with the client and orienting her to her surroundings may decrease her anxiety. The partner's presence can reduce anxiety and confusion.
Question 2 of 5
A client is receiving chemotherapy for cancer and develops thrombocytopenia. What should the nurse include in the client's plan of care because of the thrombocytopenia?
Correct Answer: C
Rationale: Thrombocytopenia increases bleeding risk; avoiding injections prevents hematomas or hemorrhage. Positioning, fluid limits, or exercise don't address bleeding risk.
Extract:
Francis went into diabetic coma.
Question 3 of 5
The nurse may observe which one as typical manifestation(s) of ketoacidosis:
Correct Answer: B
Rationale: Deep, rapid respirations are the body's effort to get rid of excess acid through breathing, a hallmark of ketoacidosis.
Extract:
Question 4 of 5
The nurse is caring for a client with bleeding from esophageal varices. The factor that most likely contributed to the development of esophageal varices is:
Correct Answer: C
Rationale: Heavy alcohol consumption causes portal hypertension, leading to esophageal varices. Hydrocarbons , obesity , and vegetarianism are not direct causes.
Question 5 of 5
The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to?
Correct Answer: C
Rationale: The measurement and recording of vital signs may be delegated to UAP. This falls under the umbrella of routine task with stable clients. Other considerations for delegation of care to UAP would be: Who is capable and is the least expensive worker to do each task?