NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
All of the following factors, when identified in the history of a family, are correlated with poverty except:
Correct Answer: D
Rationale: Poverty is associated with lack of access to preventive dental care, leading to a high incidence of dental problems. The other factors are directly correlated with poverty due to limited healthcare access and resources. Health Promotion and Maintenance
Extract:
Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia. She enters complete remission with intensive induction of chemotherapy, but she relapses after 3 months of maintenance of chemotherapy with vincristine, prednisone, methotrexate and mercaptopurine. She develops a neutropenia from the chemotherapy. On admission, her lab results came back with WBC 15000, Hemoglobin 8 mg/dl; platelet 94,000. She complains of ache all over her body, her gum bleeds very easily. Vital signs include BP 70/40; HR 130, RR 28; Temp 38°C
Question 2 of 5
Which of the following are consistent with Leukemia?
Correct Answer: C
Rationale: Bruising and petechiae result from low platelets, common in leukemia.
Extract:
Question 3 of 5
The nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse prioritize?
Correct Answer: B
Rationale: Ensuring the endotracheal tube is secure prevents accidental extubation, maintaining airway and ventilation. ABGs (
A), sedatives (
C), and settings (
D) are important but secondary to airway security.
Question 4 of 5
A client is receiving chemotherapy for cancer and develops thrombocytopenia. What should the nurse include in the client's plan of care because of the thrombocytopenia?
Correct Answer: C
Rationale: Thrombocytopenia increases bleeding risk; avoiding injections prevents hematomas or hemorrhage. Positioning, fluid limits, or exercise don't address bleeding risk.
Extract:
Six hours following bilateral hip replacement, an 80-year-old woman, transferred in from the Recovery Room to the Surgical Unit was observed to be confused and lethargic; VS are BP 82/56; HR 120; RR 28; skin cool and clammy; no c/o SOB; lungs sounds clear; u/o 20 ml/hour; T 36.5°C; WBC 9000.
Question 5 of 5
Based on this information, what condition appears to be developing?
Correct Answer: D
Rationale: Low blood pressure, tachycardia, and low urine output suggest hypovolemic shock, likely from postoperative bleeding.