NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Ms. Wilson is a 45-year-old female presents to the clinic with unexplained weight loss, anxiety, heat intolerance and palpitations. Exams reveal mild systolic hypertension, exophthalmos, lid lag, non-pitting leg edema, and a diffusely enlarged painless thyroid gland. Lab results showed depressed TSH and borderline T3 and T4. Hyperthyroidism was confirmed.
Question 1 of 5
As a result of low levels of T3 and T4, the nurse should expect Ms. Wilson to exhibit:
Correct Answer: C
Rationale: Decreased production of thyroid hormones lowers metabolism, which leads to intolerance to cold. However, the question seems to misalign with the hyperthyroidism diagnosis; in hyperthyroidism, T3 and T4 are elevated, but the answer choices suggest hypothyroidism. Given the options, cold intolerance is the correct choice for low T3/T4.
Extract:
The nurse assesses a patient's IV site and finds that it is red, hot, and tender to touch.
Question 2 of 5
The most appropriate first nursing action is:
Correct Answer: A
Rationale: Signs of phlebitis or infection require stopping the infusion and removing the IV to prevent further complications.
Extract:
Three days following surgery, a client with cast on his right leg would like to ambulate for the first time. He has not been seen by the physical therapist. For the last three days he has been sitting on the edge of the bed with feet dangling. Today, he called the nurse to walk him to the washroom.
Question 3 of 5
Using a sound judgment, the nurse's most appropriate response would be which of the following?
Correct Answer: D
Rationale: Consulting the physician ensures safe ambulation, as the patient has not been assessed by physical therapy.
Extract:
Question 4 of 5
A client who is 12 hour post-op becomes confused and says: 'Giant sharks are swimming across the ceiling.' Which assessment is necessary to adequately identify the source of this client's behavior?
Correct Answer: C
Rationale: Pulse oximetry. A sudden change in mental status in any post-op client should trigger a nursing intervention directed toward respiratory evaluation. Pulse oximetry would be the initial assessment. If available, arterial blood gases would be better. Acute respiratory failure is the sudden inability of the respiratory system to maintain adequate gas exchange which may result in hypercapnia and/or hypoxemia. Clinical findings of hypoxemia include these findings which are listed in order of initial to later findings: restlessness, irritability, agitation, dyspnea, disorientation, confusion, delirium, hallucinations, and loss of consciousness.
Question 5 of 5
A nurse is caring for a patient with a new colostomy. Which of the following statements indicates the patient needs further teaching?
Correct Answer: B
Rationale: Saying 'I can eat whatever I want' indicates a misunderstanding, as dietary restrictions (e.g., avoiding gas-forming foods) are needed to manage colostomy output. Other statements reflect correct care.