NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A newly hired licensed practical nurse (LPN) is helping the charge nurse admit a client. The charge nurse asks the LPN if she understands the facility's rules of ethical conduct. Which statement by the LPN indicates the need for further teaching?
Correct Answer: D
Rationale: The law mandates that health care agencies ask all clients if they have an advance directive.
Therefore, the LPN must address this question regardless of whether the client initiates a conversation about it. Nurses must always act in the best interest of their clients, maintain confidentiality, and support the Patient's Bill of Rights.
Question 2 of 5
A client who sustained an L1 to L2 spinal cord injury in a construction accident asks a nurse if he'll ever be able to walk again. Which response by the nurse is appropriate?
Correct Answer: C
Rationale: The nurse should respond by asking the client what he's already been told about his ability to walk again. After assessing the client's knowledge, she can better respond to the client's questioning. Option 1 provides the client with false hope, and option 2 may place the client on the defensive. Option 4 is an inappropriate response.
Question 3 of 5
A young adult patient constantly seeks attention from the nurses, stomping away from the nurses' station and pouting when her requests are refused. Which of the following responses by the nurse is MOST appropriate?
Correct Answer: B
Rationale: Rewarding non-attention-seeking behaviors with unsolicited attention reinforces positive behavior, reducing the need for negative attention-seeking actions. Consistent staff approaches (contrary to A and
D) and limit-setting without ignoring the patient (
C) are also important, but B directly addresses behavior modification.
Question 4 of 5
During the beginning shift assessment of a client with asthma who is receiving oxygen per nasal cannula at 2 liters per minute, the nurse would be most concerned about which unreported finding?
Correct Answer: C
Rationale: Of the given findings this has the greatest risk for potential complications. Shallow and rapid respirations may indicate that the client is losing muscle strength required to breathe. The intermittent wheezes could be an indication of an increase in narrowed small airways and a worsening condition.
Question 5 of 5
The nurse is caring for a client with skin grafts covering third-degree burns on the arms and legs. During dressing changes, the nurse should be sure to:
Correct Answer: B
Rationale: Wrapping elastic bandages on dependent areas limits edema formation and bleeding and promotes graft acceptance. The nurse should wrap the client's arms and legs from the distal to proximal ends and use strict sterile technique throughout the dressing change. Applying maximum bandages should be avoided because bulky dressings limit mobility; instead, the nurse should use enough bandages to absorb wound drainage. Sterile gloves are required throughout all phases of the dressing change to prevent contamination.