NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Mary Jane is 7-year-old girl who was admitted with asthma exacerbation. Admission vital signs include a HR of 120 bpm, RR 34, breathing was wheezy on auscultation, Temp 99.5°F.
Question 1 of 5
Based on the admission assessment, the nurse will expect which drug will be ordered on the patient ASAP?
Correct Answer: B
Rationale: Ventolin (albuterol) is a bronchodilator, the first-line treatment for asthma exacerbation.
Extract:
In caring for a patient with ALS (Amyotrophic Lateral Sclerosis)
Question 2 of 5
In caring for a patient with ALS (Amyotrophic Lateral Sclerosis), the nursing diagnosis with the HIGHEST priority would be:
Correct Answer: C
Rationale: Ineffective airway clearance is the highest priority due to risk of respiratory failure in ALS.
Extract:
Question 3 of 5
A client who sustained an L1 to L2 spinal cord injury in a construction accident asks a nurse if he'll ever be able to walk again. Which response by the nurse is appropriate?
Correct Answer: C
Rationale: The nurse should respond by asking the client what he's already been told about his ability to walk again. After assessing the client's knowledge, she can better respond to the client's questioning. Option 1 provides the client with false hope, and option 2 may place the client on the defensive. Option 4 is an inappropriate response.
Question 4 of 5
A client with Alzheimer's disease mumbles incoherently and rambles in a confused manner. To help redirect the client's attention, the nurse should encourage the client to:
Correct Answer: A
Rationale: Folding towels and pillowcases is a simple activity that redirects the client's attention. Also, because this activity is familiar, the client is likely to perform it successfully. Cards, charades, and aerobic exercise are too complicated for a confused client.
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 5 of 5
Which of the following are consistent with Leukemia?
Correct Answer: C
Rationale: Bruising and petechiae result from low platelets, common in leukemia.