NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A nurse is caring for a patient with a chest tube. Which of the following findings should be reported immediately?
Correct Answer: A
Rationale: Continuous bubbling in the water seal chamber indicates an air leak, a serious complication requiring immediate reporting. Tidaling is normal, 50 mL/h drainage is expected, and occasional suction bubbling is normal.
Question 2 of 5
A geriatric client with Alzheimer's disease has been living with his grown child's family for the last 6 months. He wanders at night and needs help with activities of daily living. Which statement by his child suggests that the family is successfully adjusting to this living arrangement?
Correct Answer: D
Rationale: This statement demonstrates a realistic understanding of the client's disorder and effective family coping with the challenges it presents. Options 1 and 2 indicate that the family is having difficulty adjusting. Option 3 suggests that the family is in denial or has an unrealistic view of the prognosis for a client with Alzheimer's disease.
Question 3 of 5
A gravida 2 para 0 is admitted from the ER with spontaneous rupture of membranes. She states that she has seen the doctor only twice during the pregnancy and that she is unsure of her exact due date. Exam reveals the presence of green-tinged fluid in the vaginal vault. The fetus is noted to be in a LOP position with an FHR of 110 BPM. Based on the assessment, the nurse suspects:
Correct Answer: A
Rationale: Green-tinged fluid (meconium) and FHR of 110 BPM suggest fetal distress. Infection, post-maturity, or TE fistula are less likely without additional signs.
Question 4 of 5
The parents of a child who has recently been diagnosed with asthma ask the nurse to explain the condition to them. The best response is 'Asthma causes
Correct Answer: A
Rationale: the airway to become narrow and obstructs airflow. Asthma is defined as airway obstruction or a narrowing that is characterized by bronchial irritability after exposure to various stimuli.
Question 5 of 5
The nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse prioritize?
Correct Answer: B
Rationale: Ensuring the endotracheal tube is secure prevents accidental extubation, maintaining airway and ventilation. ABGs (
A), sedatives (
C), and settings (
D) are important but secondary to airway security.