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.
Question 2 of 5
A 15-year-old client has just been diagnosed as having infectious mononucleosis. He asks how he contracted the disease. Which action reported in his history is most likely related to developing infectious mononucleosis?
Correct Answer: D
Rationale: Infectious mononucleosis is spread via saliva; sharing water bottles is a likely transmission route, unlike hats, nail injuries, or shellfish.
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 3 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 4 of 5
A toddler is having a tonic-clonic seizure. What should the nurse do first?
Correct Answer: C
Rationale: During a seizure, the nurse's first priority is to protect the child from injury.
To prevent injury caused by uncontrolled movements, the nurse must remove objects from the child's surroundings and pad objects that can't be removed. Restraining the child or placing an object in the child's mouth during a seizure may cause injury. Once the seizure stops, the nurse should check for breathing and, if indicated, initiate rescue breathing.
Question 5 of 5
An elderly client with peripheral vascular disease has been using a heating pad. The first sign of thermal injury related to the use of a heating pad or a hot compress is:
Correct Answer: B
Rationale: Redness is the earliest sign of thermal injury due to vasodilation and inflammation. Swelling, blanching, and blisters appear later.