NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A patient with chronic kidney disease is receiving hemodialysis. Which of the following assessments is most important before starting the dialysis session?
Correct Answer: A
Rationale: Blood pressure assessment prevents complications like hypotension during dialysis, a common risk in renal failure. Respiratory rate, heart rate, and temperature are monitored but less critical.
Question 2 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 3 of 5
The nurse is caring for a client with a history of chronic venous insufficiency. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: Leg elevation reduces venous pooling and edema in chronic venous insufficiency, improving circulation. Warm compresses (
A) are inappropriate, diuretics (
C) are not first-line, and restricting ambulation (
D) worsens stasis.
Question 4 of 5
The nurse is caring for a client who has been on bed rest for several weeks. Which problem is least likely to be related to bed rest?
Correct Answer: C
Rationale: Varicose veins are primarily genetic or occupational, not directly caused by bed rest. Muscle atrophy, pneumonia, and thrombophlebitis are common bed rest complications.
Question 5 of 5
A nurse is assessing an elderly patient for signs of dehydration. Which of the following findings is most indicative of dehydration?
Correct Answer: A
Rationale: Dry mucous membranes are a classic sign of dehydration, reflecting fluid loss. Increased urine output, hypertension, and weight gain suggest fluid overload or other conditions, not dehydration.