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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Free Practice Questions Questions

Extract:


Question 1 of 5

A client is scheduled for surgery under general anesthesia. The night before surgery, the client tells the nurse, 'I can't wait to have breakfast tomorrow.' Based on this statement, the nurse should formulate which nursing diagnosis?

Correct Answer: A

Rationale: The client's statement reveals a Deficient knowledge related to food restrictions associated with general anesthesia. The other options may be applicable but aren't related to the client's statement.

Extract:

Ipsilateral pupil:


Question 2 of 5

Ipsilateral pupil:

Correct Answer: A

Rationale: Ipsilateral pupil dilation often occurs in conditions like brain herniation affecting the same side.

Extract:

Stephen is a 58-year-old male patient who has a long history of alcoholism. He develops Laennec's cirrhosis, has ascites, jaundice and is confused.


Question 3 of 5

The nursing priority for Stephen is to

Correct Answer: A

Rationale: Confusion indicates hepatic encephalopathy, making safety measures the priority to prevent injury.

Extract:

Leno, 35-year-old of African descent, came to USA to visit his family. He was admitted in the hospital due to exacerbation of sickle cell.


Question 4 of 5

During the vaso-occlusive crisis, which of the following nursing interventions is a priority?

Correct Answer: A

Rationale: IV fluids, analgesia, and oxygen address hydration, pain, and oxygenation, which are critical during a vaso-occlusive crisis.

Extract:


Question 5 of 5

The nurse notes an abrupt onset of confusion in an elderly patient. Which of the following recently-ordered medications would most likely contribute to this change?

Correct Answer: C

Rationale: Antihistamine. Elderly people are susceptible to the side effect of anticholinergic drugs, such as antihistamines. Antihistamines often cause confusion in the elderly, especially at high doses.

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