NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Ms. Wilson was admitted in the hospital for subtotal thyroidectomy. Two days prior to surgery she complains to the nurse and states, 'It looks like that she is coming down with flu.'
Question 1 of 5
An appropriate nursing action is:
Correct Answer: A
Rationale: Lugol's solution is given a few days before thyroidectomy to decrease the vascularity of the thyroid glands. Should the patient develop an infection, thyroidectomy will be canceled, so the Lugol's solution should not be given.
Extract:
Question 2 of 5
A client with sickle cell disease is admitted with a diagnosis of pneumonia. Which nursing intervention would be most helpful to prevent a vasocclusive crisis?
Correct Answer: D
Rationale: Hydration is needed to prevent slowing of blood flow and occlusion. It is important to perform the assessments in answers A, B, and C, but D is the best intervention for the prevention of the crisis.
Question 3 of 5
Ashley and her boyfriend Chris, both 19 years old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating. The nurse should assess Ashley's level of anxiety as:
Correct Answer: C
Rationale: Ashley's symptoms, including confusion, dizziness, nausea, rapid pulse, and hyperventilation, indicate severe anxiety, characterized by somatic symptoms and impaired problem-solving. Mild or moderate anxiety would present with less intense symptoms, and panic would involve loss of reality. Psychosocial Integrity
Question 4 of 5
The nurse is caring for a client who is receiving total parenteral nutrition (TPN) (hyperalimentation and lipids). What is the priority nursing action on every 8 hour shift?
Correct Answer: C
Rationale: Because of the high dextrose and protein content in parenteral nutrition, the nurse should assess the urine at least every 8 hours.
Question 5 of 5
To prevent drug resistance from developing, the nurse is aware that which of the following is a characteristic of the typical treatment plan to eliminate the tuberculosis bacilli?
Correct Answer: D
Rationale: Administering two anti-tuberculosis drugs. Resistance of the tubercle bacilli often occurs to a single antimicrobial agent.
Therefore, therapy with multiple drugs over a long period of time helps to ensure eradication of the organism.