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 is working in a community outreach program for foster children plans care, knowing that which health conditions are common in this population? Select all that apply.
Correct Answer: A,B,E,F
Rationale: Foster children often face chronic stress and unstable environments, increasing risks for asthma (due to environmental factors), sleep problems, aggressive behavior, and ADHD. Claustrophobia and bipolar disorder are less commonly associated with this population.
Question 3 of 5
A 23 year-old single client is in the 33rd week of her first pregnancy. She tells the nurse that she has everything ready for the baby and has made plans for the first weeks together at home. Which normal emotional reaction does the nurse recognize?
Correct Answer: C
Rationale: Anticipation of the birth. Directing activities toward preparation for the newborn's needs and personal adjustment are indicators of appropriate emotional response in the third trimester.
Question 4 of 5
A client with mania is busy investigating the unit and overseeing the activities of others. She is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:
Correct Answer: A
Rationale: High-calorie, portable foods accommodate the client's high energy and distractibility, ensuring adequate nutrition. Other options are less practical or effective.
Question 5 of 5
A client with asthma develops respiratory acidosis. Based on this diagnosis, what should the nurse expect the client's serum potassium level to be?
Correct Answer: B
Rationale: Respiratory acidosis causes potassium to shift from cells to the bloodstream, leading to hyperkalemia. This is a compensatory response to acid-base imbalance. Physiological Adaptation