NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 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.
Question 2 of 5
The nursing assistant reports that a client who is on a high-protein diet is eating only the fruits and vegetables on the meal tray. The nurse notes that the client is from the country of India. The nurse talks with the client. Which response by the nurse is likely to do most to help the client meet nutritional needs?
Correct Answer: A
Rationale: Offering a vegetarian diet respects cultural preferences common in India, increasing adherence to nutritional needs. Asking about taste, favorite foods, or emphasizing the diet's importance is less effective.
Question 3 of 5
The nurse is administering iron by the $\mathrm{Z}$ track method. Which technique would the nurse utilize to prevent tracking of the medication?
Correct Answer: D
Rationale: The $0.2 \mathrm{ml}$ of air that would be administered after the medication with an intramuscular injection would allow the medication to be dispersed into the muscle. In the answer A, the muscle is small. Answer C is an incorrect procedure, and answer B doesn't help with prevention of tracking.
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 4 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 5 of 5
While working with an obese adolescent, it is important for the nurse to recognize that obesity in adolescence is most often associated with what other finding?
Correct Answer: B
Rationale: Poor body image. Obesity often leads to decreased self-esteem and negative body image in adolescents.