NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A client who had a total thyroidectomy this morning is to be admitted to the surgical floor. What should the nurse have readily available when the client arrives?
Correct Answer: A
Rationale: Thyroidectomy risks airway obstruction from swelling or hematoma; a tracheostomy set is essential for emergency airway management.
Question 2 of 5
A client has been taking perphenazine (Trilafon) by mouth for two days and now displays the following: head turned to the side, neck arched at an angle, stiffness and muscle spasms in neck. The nurse would expect to give which of the following as a PRN medication?
Correct Answer: B
Rationale: The symptoms describe acute dystonia, an extrapyramidal side effect of perphenazine. Biperiden, an antiparkinsonian agent, counteracts these effects. Promazine, thiothixene, and haloperidol (A, C,
D) are antipsychotics and would not relieve dystonia.
Question 3 of 5
The nurse is teaching a client about the difference between tardive dyskinesia (TD) and neuroleptic malignant syndrome (NMS). Which statement is true with regards to tardive dyskinesia?
Correct Answer: B
Rationale: Tardive dyskinesia is an extrapyramidal side effect that typically develops after prolonged use of antipsychotic drugs, often longer than 2 years, and is not easily reversible or treated with anticholinergics.
Question 4 of 5
A client with dumping syndrome should ___ while a client with GERD should ___
Correct Answer: B
Rationale: Lying down after eating slows gastric emptying, reducing dumping syndrome symptoms. Sitting up prevents acid reflux in GERD. The other combinations are incorrect for these conditions. Basic Care and Comfort
Question 5 of 5
Which fetal heart monitor pattern can indicate cord compression?
Correct Answer: A
Rationale: Variable decelerations are associated with umbilical cord compression, which can intermittently reduce fetal blood flow. The other patterns are related to different fetal conditions. Reduction of Risk Potential