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:
If intubation is indicated for a patient with bleeding esophageal varices, the type of tube most likely to be used would be a (an):
Question 2 of 5
If intubation is indicated for a patient with bleeding esophageal varices, the type of tube most likely to be used would be a (an):
Correct Answer: D
Rationale: The Sengstaken-Blakemore tube compresses varices to control bleeding.
Extract:
An elderly male patient admitted with a diagnosis of R/O cerebral vascular accident has had a significant change in his blood pressure: BP on admission was 160/100; an hour later BP went up to 180/110. The patient also appears 'sleepy'.
Question 3 of 5
Which assessment finding should the nurse report immediately to the provider?
Correct Answer: A
Rationale: Unilateral facial drooping is a classic sign of a stroke, requiring immediate reporting to the provider for urgent intervention.
Extract:
Question 4 of 5
The nurse is assessing a newborn infant and observes low set ears, short palpebral fissures, flat nasal bridge and indistinct philtrum. A priority maternal assessment by the nurse should be to ask about
Correct Answer: A
Rationale: Alcohol use during pregnancy. This cluster of facial characteristics is often linked to fetal alcohol syndrome (FAS), which can cause lifelong developmental delays.
Question 5 of 5
An adult who has just been diagnosed with diverticulitis asks the nurse if she will need a special diet. The nurse knows that the client should follow which type of diet?
Correct Answer: B
Rationale: A low-residue diet minimizes intestinal bulk, reducing irritation in diverticulitis. High protein, low fat, or full liquid diets are not specifically indicated for diverticulitis management.