NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A client with retinal detachment of the right eye has a scleral buckling with instillation of silicone oil. Post-operatively the client should be positioned:
Correct Answer: D
Rationale: Following a scleral buckling with instillation of silicone oil or gas, the client should be positioned prone with the head turned so that the operative eye is facing upward. Answers A, B, and C would displace the oil and prevent it from enhancing a seal between the retina and choroid.
Extract:
Which of the following signs should the nurse be aware of on a patient who is taking prednisone?
Question 2 of 5
Melena
Correct Answer: A
Rationale: Prednisone can cause gastrointestinal irritation, leading to melena, a sign of bleeding.
Extract:
Question 3 of 5
The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephrotic syndrome. The nurse should:
Correct Answer: A
Rationale: Cyclophosphamide is nephrotoxic; extra fluids promote excretion and reduce bladder toxicity. Low-protein diets are not indicated, mild soap is unrelated, and joints are not typically inflamed in nephrotic syndrome.
Question 4 of 5
The nurse prepares a 25-year-old woman for a cesarean section. The patient says she had major surgery several years ago and asks if she will receive a similar 'shot' before surgery. The nurse's response should be based on an understanding that the preoperative medication given before a cesarean section
Correct Answer: C
Rationale: Preoperative medications for cesarean sections typically include reduced amounts of narcotics to minimize the risk of respiratory depression in the newborn, as narcotics cross the placental barrier. Sedatives and hypnotics are used in similar doses as in general surgery, and the overall dosage is not necessarily lower.
Extract:
The patient with DM has flu.
Question 5 of 5
Which nursing action is more appropriate?
Correct Answer: A
Rationale: Flu can disrupt glucose control, making frequent monitoring critical.