NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A woman at 38-weeks gestation comes to the emergency room with complaints of vaginal bleeding. Which of the following statements, if made by the client, would suggest to the nurse placenta previa as the cause of the bleeding?
Correct Answer: A
Rationale: Placenta previa is characterized by painless vaginal bleeding, as the placenta covers the cervix, causing bleeding without contractions.
Choice A reflects this. Nausea (
B) is unrelated, activity-related bleeding (
C) suggests abruptio placentae, and cramps (
D) indicate labor or abruptio placentae.
Extract:
Fluid shift occurs immediately following the onset of burn.
Question 2 of 5
Nursing assessment indicating fluid shift include:
Correct Answer: B
Rationale: Delayed capillary refill is evident due to lack of volume and oxygen, indicating fluid shift post-burn.
Extract:
Question 3 of 5
A child with tetralogy of Fallot visits the clinic several weeks before planned surgery. The nurse should give priority attention to
Correct Answer: A
Rationale: Assessment of oxygenation. Tetralogy of Fallot involves defects that reduce pulmonary blood flow, leading to cyanosis and polycythemia, which can cause neurologic complications if oxygenation is inadequate.
Question 4 of 5
The nurse is preparing to boost a client up in bed. She instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?
Correct Answer: D
Rationale: Using a trapeze reduces shearing forces (opposing forces that cause layers of skin to move over each other, stretching and tearing capillaries and, eventually, resulting in necrosis), which increase the risk of pressure ulcer development. They can occur as clients slide down in bed or when they're pulled up in bed.
To reduce shearing forces, the nurse should instruct the client to use an overbed trapeze, place a draw sheet under the client to move the client up in bed, and keep the head of the bed no higher than 30 degrees. The risks of friction, impaired circulation, and localized pressure aren't decreased with trapeze use.
Extract:
Understanding that there is need to protect susceptible persons from exposure to chickenpox during the acute phase, the nurse should question the mother of a child with chickenpox about relatives or friends who are receiving:
Question 5 of 5
Understanding that there is need to protect susceptible persons from exposure to chickenpox during the acute phase, the nurse should question the mother of a child with chickenpox about relatives or friends who are receiving:
Correct Answer: C
Rationale: Steroid therapy increases susceptibility to severe chickenpox, requiring caution.