NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
An appropriate intervention for the client with suspected genitourinary trauma and visible blood at the urethral meatus is:
Correct Answer: D
Rationale: Blood at the urethral meatus suggests trauma, contraindicating catheterization. A urologist consult is necessary for specialized evaluation and management. Physiological Adaptation
Question 2 of 5
The nurse is administering terbutaline (Brethine) to a client in labor. Prior to administration of the medication, the nurse assesses the client's pulse to be 144. The nurse's priority action should be to
Correct Answer: A
Rationale: Terbutaline, a tocolytic, can cause maternal tachycardia. A pulse of 144 indicates significant tachycardia, a side effect requiring the medication to be withheld to prevent further cardiovascular strain. Decreasing the dose (
B) is not within nursing scope, administering (
C) ignores the risk, and waiting (
D) delays intervention.
Extract:
On the day of surgery, the nurse noted the following laboratory results.
Question 3 of 5
Which one should be reported to the surgeon immediately?
Correct Answer: B
Rationale: Elevated WBC is a sign of infection, which requires immediate reporting to the surgeon to assess the need to postpone surgery.
Extract:
When a patient return from the recovery room following a subtotal thyroidectomy, the nurse should immediately
Question 4 of 5
inspect the incision.
Correct Answer: D
Rationale: Thyroid surgery sometimes results in accidental removal of the parathyroid glands. A resultant hypocalcemia may lead to contraction of the glottis, causing airway obstruction; edema also causes obstruction. Having a tracheostomy set ready is critical.
Extract:
Priority nursing diagnosis on the patient who was admitted with acute renal failure
Question 5 of 5
Priority nursing diagnosis on the patient who was admitted with acute renal failure would be:
Correct Answer: C
Rationale: Fatigue due to altered nutrition is a priority in acute renal failure as it reflects metabolic imbalances and nutritional deficits.