NCLEX Questions, Free NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free NCLEX-PN Practice Questions Questions

Extract:


Question 1 of 5

A victim of domestic violence states, 'If I were better, I would not have been beat.' Which feeling best describes what the victim may be experiencing?

Correct Answer: C

Rationale: Self-blame. Victims often internalize blame, believing their behavior causes the abuse, which is a common misconception.

Extract:

You were walking in the hallway of the long term facility, you found Jeffrey surrounded by friends and visitors. He was unresponsive, no pulse, and no breathing.


Question 2 of 5

Which one is the most appropriate action taken by the nurse?

Correct Answer: A

Rationale: Initiating CPR is the immediate action for an unresponsive patient with no pulse or breathing.

Extract:


Question 3 of 5

Which of the following statements regarding wound healing is correct?

Correct Answer: C

Rationale: Third intention healing involves delayed closure of a wound, allowing it to heal from the inside out, often used for contaminated wounds.

Question 4 of 5

Which sign might the nurse see in a client with a high ammonia level?

Correct Answer: A

Rationale: High ammonia levels, often due to liver dysfunction, can lead to hepatic encephalopathy, with coma as a severe symptom. The other signs are not directly related to hyperammonemia. Reduction of Risk Potential

Question 5 of 5

A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?

Correct Answer: B

Rationale: Morphine sulfate, a narcotic analgesic, causes central nervous system (CNS) and respiratory depression. In patients with head injuries, it is contraindicated because it masks signs of increased intracranial pressure (ICP), such as changes in level of consciousness, which are critical for monitoring neurological status. Promethazine is an antiemetic, docusate is a stool softener, and ranitidine prevents stress ulcers, none of which pose the same risk in this context.

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