NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 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 2 of 5
The nurse is assessing a client with a deep vein thrombosis. Which of the following signs and/or symptoms would the nurse anticipate finding?
Correct Answer: C
Rationale: Swelling of lower extremity. The most common signs of deep vein thrombosis are pain in the region of the thrombus and unilateral swelling distal to the site.
Question 3 of 5
The nurse is assessing the dental status of an 18-month-old child. How many teeth should the nurse expect to examine?
Correct Answer: C
Rationale: An 18-month-old child typically has about 12 teeth, calculated by subtracting 6 from the child's age in months (18 - 6 = 12). Health Promotion and Maintenance
Question 4 of 5
A hospitalized client asks the nurse for 'something for pain.' Which information is most important for the nurse to gather before administering the medication? Select all that apply:
Correct Answer: A,B,C,D,F
Rationale: The nurse needs to know when the last dose was administered. Some clients request pain medication earlier than is ordered by the physician. Pain, the fifth vital sign, should be assessed using a pain scale and documented in the nursing notes whenever a pain medication is given. Pain is usually reassessed about 30 minutes after the medication is given. Physicians commonly order several different types of pain medication based on the client's condition. The nurse should know which medication and which route was used to administer prior dosages. Evaluating the effectiveness of medications is also an important nursing function when managing the client's pain.
Therefore, she should ask the client if the prior dose was helpful. The nurse should also note whether the client experienced any adverse effects of the medication. Most medications are ordered based on the client's admission weight, not current weight and height. A client's weight may fluctuate when he's in the hospital, so it's unlikely that the nurse will have the most current weight available. Also, taking steps to obtain the client's current weight postpones the pain treatment and can potentially worsen pain.
Question 5 of 5
A nurse is assessing a patient's vital signs. Which of the following findings should be reported immediately?
Correct Answer: C
Rationale: A respiratory rate of 10 breaths per minute is abnormally low, indicating potential respiratory depression or distress, requiring immediate reporting. Other findings are within normal ranges.