NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
An adult is taking warfarin daily. The client's international normalized ratio (INR) is 2.4. Which nursing action is most appropriate?
Correct Answer: C
Rationale: An INR of 2.4 is within the therapeutic range (2.0-3.0) for anticoagulation, indicating the dose should be continued as ordered.
Extract:
A child comes to the hospital after exposure to diphtheria and is given antitoxin.
Question 2 of 5
This type of immunity is known as:
Correct Answer: D
Rationale: In passive artificial immunity, an antibody made in another organism is injected into the infected or presumed infected person to provide immediate immunity.
Extract:
Question 3 of 5
The nurse is preparing a 5 year-old for a scheduled tonsillectomy and adenoidectomy. The parents are anxious and concerned about the child's reaction to impending surgery. Which nursing intervention would best prepare the child?
Correct Answer: B
Rationale: Explain the surgery 1 week prior to the procedure. This allows the child time to process and understand the upcoming surgery.
Question 4 of 5
The nurse is assessing a 78-year-old woman. The woman says she has some bladder discomfort and urinary frequency. She also says, 'I mind the cold so, but I don't seem to shiver. I don't have much energy these days.' Her temperature is 98.9°F, pulse is 76, respirations are 20, and blood pressure is 140/88. Which findings are of most concern to the nurse and need to be further evaluated?
Correct Answer: C
Rationale: Bladder discomfort, frequency, and fatigue may indicate a urinary tract infection or other systemic issue, requiring evaluation. Vital signs are normal, and shivering/cold sensitivity is less urgent.
Extract:
When assessing an individual with a spontaneous pneumothorax, there is a danger of mediastinal shift.
Question 5 of 5
Mediastinal shift is described as:
Correct Answer: A
Rationale: Mediastinal shift involves tracheal deviation to the unaffected side due to pressure imbalance.