NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A toddler is having a tonic-clonic seizure. What should the nurse do first?
Correct Answer: C
Rationale: During a seizure, the nurse's first priority is to protect the child from injury.
To prevent injury caused by uncontrolled movements, the nurse must remove objects from the child's surroundings and pad objects that can't be removed. Restraining the child or placing an object in the child's mouth during a seizure may cause injury. Once the seizure stops, the nurse should check for breathing and, if indicated, initiate rescue breathing.
Question 2 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.
Extract:
Mr. Leon Gamett, 45-years-old, was admitted with pneumococcal pneumonia & Tuberculosis.
Question 3 of 5
Which of the following nursing action is appropriate?
Correct Answer: A
Rationale: Negative air pressure rooms prevent TB transmission, a priority intervention.
Extract:
Question 4 of 5
A postpartum client requires teaching about breast-feeding. To prevent breast engorgement, the nurse should instruct her to:
Correct Answer: C
Rationale: Frequent breast-feeding empties the breasts and increases circulation, helping to remove fluid that may lead to engorgement. If the infant isn't ill or physically impaired and can breast-feed, the client shouldn't use an electric breast pump because this deprives the infant of optimal sucking and skin-to-skin contact with the mother. Applying warm, moist compresses stimulates the let-down reflex and causes the breasts to fill, which may lead to engorgement. A brassiere supports the breasts but doesn't prevent engorgement.
Question 5 of 5
A 23 year-old single client is in the 33rd week of her first pregnancy. She tells the nurse that she has everything ready for the baby and has made plans for the first weeks together at home. Which normal emotional reaction does the nurse recognize?
Correct Answer: C
Rationale: Anticipation of the birth. Directing activities toward preparation for the newborn's needs and personal adjustment are indicators of appropriate emotional response in the third trimester.