NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
An adult is admitted for surgery for a secreting adrenal tumor. In the immediate postoperative period, which nursing action will be highest priority?
Correct Answer: B
Rationale: Adrenal tumor resection may cause adrenal insufficiency; administering adrenal hormones is critical to replace deficient cortisol, preventing crisis. Liquids, breathing exercises, and pain management are secondary.
Question 2 of 5
The nurse is assigned to a client with a radical mastectomy. Which intervention by the nurse demonstrates the concept of caring?
Correct Answer: C
Rationale: Arranging a Reach for Recovery visit offers peer support, addressing emotional and psychological needs, demonstrating caring. Other options are educational but less focused on emotional support.
Extract:
After a patient has cataract surgery, the nurse should:
Question 3 of 5
After a patient has cataract surgery, the nurse should:
Correct Answer: D
Rationale: Avoiding vigorous activities like brushing prevents increased intraocular pressure post-cataract surgery.
Extract:
Question 4 of 5
A 17-year-old client is admitted following a seizure. That evening, the nurse goes into the room and notes that the client has obviously been crying. The client says, 'Now that I have epilepsy, I am a freak.' What is the best initial response for the nurse to make?
Correct Answer: A
Rationale: Acknowledging the client's feelings validates their emotional distress, fostering therapeutic communication. Reassurance or minimization dismisses their concerns, hindering rapport.
Question 5 of 5
A hospitalized client asks the nurse for 'something for pain.' Which information is most important for the nurse to gather before administering the medication? Select all that apply:
Correct Answer: A,B,C,D,F
Rationale: The nurse needs to know when the last dose was administered. Some clients request pain medication earlier than is ordered by the physician. Pain, the fifth vital sign, should be assessed using a pain scale and documented in the nursing notes whenever a pain medication is given. Pain is usually reassessed about 30 minutes after the medication is given. Physicians commonly order several different types of pain medication based on the client's condition. The nurse should know which medication and which route was used to administer prior dosages. Evaluating the effectiveness of medications is also an important nursing function when managing the client's pain.
Therefore, she should ask the client if the prior dose was helpful. The nurse should also note whether the client experienced any adverse effects of the medication. Most medications are ordered based on the client's admission weight, not current weight and height. A client's weight may fluctuate when he's in the hospital, so it's unlikely that the nurse will have the most current weight available. Also, taking steps to obtain the client's current weight postpones the pain treatment and can potentially worsen pain.