NCLEX-PN
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.
Question 2 of 5
A client has a history of chronic undifferentiated schizophrenia. Because she has a history of noncompliance with antipsychotic therapy, she'll receive fluphenazine decanoate (Prolixin Decanoate) injections every 4 weeks. Before discharge, what should the nurse include in her teaching plan?
Correct Answer: B
Rationale: The nurse should teach the client how to manage common adverse reactions, such as orthostatic hypotension and anticholinergic effects. The antipsychotic effects of the drug may take several weeks to appear. Droperidol increases the risk of extrapyramidal effects when given in conjunction with phenothiazines such as fluphenazine. Tardive dyskinesia is a possible adverse reaction and should be reported immediately.
Question 3 of 5
A client with moderate pregnancy-induced hypertension (PIH) is a poor candidate for regional anesthesia during labor and delivery. If she were to receive this form of anesthesia, she might experience:
Correct Answer: A
Rationale: In a client with PIH, uteroplacental perfusion may be inadequate and gas exchange may be poor. Regional anesthesia increases the risk of hypotension resulting from sympathetic blockade, possibly causing fetal and maternal hypoxia. Hypertension, seizures, and renal toxicity aren't associated with regional anesthesia.
Question 4 of 5
An 18-month old is scheduled for a cleft palate repair. The usual type of restraints for a child with a cleft palate repair are:
Correct Answer: A
Rationale: Elbow restraints prevent the child from touching the surgical site while allowing some movement. Full arm or wrist restraints are too restrictive. Mummy restraints are used in other contexts.
Extract:
When teaching a client about antacid therapy
Question 5 of 5
The nurse should include the fact that antacid tablets:
Correct Answer: D
Rationale: Antacids can interfere with the absorption of other medications, requiring careful timing.