NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Following Nitroglycerin patch application
Question 1 of 5
An expected outcome experienced by the client would be one of the following:
Correct Answer: B
Rationale: Nitroglycerin may cause reflex tachycardia as a compensatory response to vasodilation.
Extract:
Question 2 of 5
The nurse is performing a baseline assessment of a client's skin integrity. Which of the following is a key assessment parameter?
Correct Answer: D
Rationale: When assessing skin integrity, the overall risk potential for developing pressure ulcers takes priority. Overall risk encompasses existing pressure ulcers as well as potential areas for development of pressure ulcers. Family history isn't important when assessing skin integrity.
Question 3 of 5
Steam inhalation is prescribed for a client. Which of the following safety precautions should the nurse include in the client's instructions?
Correct Answer: C
Rationale: Turning off the humidifier when not in use prevents electrical hazards and bacterial growth. Distilled water is ideal but not critical, overfilling is unnecessary, and cleaning frequency depends on use.
Question 4 of 5
A client is being admitted with a diagnosis of possible pancreatitis. Which of the following is the best support for this diagnosis?
Correct Answer: C
Rationale: The client's amylase level is elevated above the normal level of 200 U/L. This measurement is the most accurate indicator of pancreatitis and the most objective and specific. The answers in A, B, and D are also clinical manifestations of pancreatitis, but are not as specific as the laboratory value, so they are incorrect choices.
Question 5 of 5
A patient with borderline personality disorder is exhibiting self-harming behaviors. Which of the following interventions is most appropriate?
Correct Answer: B
Rationale: Providing immediate medical care for injuries ensures safety and addresses physical harm, the priority in self-harming behaviors. Ignoring, punishing, or only discussing feelings delays critical intervention.