NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Six hours following bilateral hip replacement, an 80-year-old woman, transferred in from the Recovery Room to the Surgical Unit was observed to be confused and lethargic; VS are BP 82/56; HR 120; RR 28; skin cool and clammy; no c/o SOB; lungs sounds clear; u/o 20 ml/hour; T 36.5°C; WBC 9000.
Question 1 of 5
Based on this information, what condition appears to be developing?
Correct Answer: D
Rationale: Low blood pressure, tachycardia, and low urine output suggest hypovolemic shock, likely from postoperative bleeding.
Extract:
Question 2 of 5
The nurse has been assigned to four clients in the emergency room, each experiencing one of these conditions. Which client condition would the nurse check first?
Correct Answer: C
Rationale: Tension pneumothorax with slight tracheal deviation to the right. Tracheal deviation indicates a life-threatening condition with risk of cardiac tamponade.
Extract:
During examination of a 36-year-old woman's right breast, you palpate a lump.
Question 3 of 5
Which characteristic most suggests that the lump may be malignant?
Correct Answer: B
Rationale: Irregular shape is a concerning feature of malignant breast lumps.
Extract:
Question 4 of 5
Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophageal reflux disease (GERD)?
Correct Answer: C
Rationale: Chocolate relaxes the lower esophageal sphincter, worsening GERD symptoms. The other foods are less likely to trigger reflux. Basic Care and Comfort
Question 5 of 5
Which of the following nursing actions has the HIGHEST priority for a teenager admitted with burns to 50% of his body?
Correct Answer: C
Rationale: Severe burns (50% of the body) significantly increase the risk of infection due to loss of skin barrier. Maintaining aseptic technique during procedures is the highest priority to prevent life-threatening infections. Counseling (
A) and peer visits (
D) address psychosocial needs, which are secondary, and airborne precautions (
B) are unnecessary (standard precautions suffice).