NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A school-age child with terminal leukemia is admitted to the pediatric unit. The nurse must discuss advance directives with the child's parents. The nurse should include which information?
Correct Answer: C
Rationale: The nurse shouldn't give a positive appraisal of the child's prognosis because doing so gives the parents false hope. The nurse must be honest about the child's prognosis and provide them accurate information about treatment options, which include palliative care, comfort care, and pain management. The physician - not the nurse - should discuss such treatment options as chemotherapy or bone marrow transplantation, if indicated.
Question 2 of 5
Epoetin alfa (Epogen) is prescribed for a client who is on dialysis. When teaching the client about the drug, the nurse should plan to include which information about the drug?
Correct Answer: C
Rationale: Epoetin alfa replaces erythropoietin, deficient in kidney failure, to stimulate red blood cell production, correcting anemia. It does not affect urine production, waste removal, or athletic performance.
Question 3 of 5
The nurse observes a LPN/LVN perform a wet-to-dry dressing change on a 2-inch abdominal incision. Which of the following behaviors, if performed by the LPN/LVN, would indicate an understanding of proper technique?
Correct Answer: C
Rationale: Wet-to-dry dressings should have wet gauze packed into the incision without overlapping onto the skin to prevent skin breakdown. Cleansing (
A) should be from the center outward, dressings (
B) are soaked before packing, and old dressings (
D) are removed dry to debride the wound.
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 4 of 5
Appropriate patient teaching when the chest tube is removed:
Correct Answer: A
Rationale: Holding a deep breath during removal prevents air entry into the pleural space.
Extract:
A male patient with thrombophlebitis is apprehensive about the possibility of a clot reaching his heart, causing sudden death.
Question 5 of 5
The nurse's initial intervention should be to:
Correct Answer: A
Rationale: Clarifying that thrombophlebitis clots rarely reach the heart addresses the patient's fear directly.