NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia. Which finding signals a significant problem during this procedure?
Correct Answer: B
Rationale: An increased WBC count indicates infection, probably resulting from peritonitis, which may have been caused by insertion of the peritoneal catheter into the peritoneal cavity. Peritonitis can cause the peritoneal membrane to lose its ability to filter solutes; therefore, peritoneal dialysis would no longer be a treatment option for this client. Hyperglycemia occurs during peritoneal dialysis because of the high glucose content of the dialysate; it's readily treatable with sliding-scale insulin. A potassium level of 3.8 mEq/L is an acceptable value. An HCT of 35% is lower than normal. However, in this client, the value isn't abnormally low because of the daily blood samplings. A lower HCT is common in clients with chronic renal failure because of the lack of erythropoietin.
Question 2 of 5
An adult who is undergoing diagnostic tests to diagnose a possible malignancy angrily says to the nurse, 'You don't know anything. I want someone competent caring for me.' What is the best initial nursing response?
Correct Answer: B
Rationale: Acknowledging the client's distress validates their feelings, de-escalating anger and fostering therapeutic communication.
Extract:
A male client in the dermatologist's clinic asked the nurse for information on contraceptives. The nurse, who was aware of her limited knowledge on contraceptives, has provided contact number for information to the client.
Question 3 of 5
The nurse's action was based on the Regulatory Board's standard of practice which is:
Correct Answer: C
Rationale: Providing a contact number reflects competency by acknowledging limitations and ensuring accurate information.
Extract:
Pulsus Paradoxus is best described as
Question 4 of 5
Pulsus Paradoxus is best described as
Correct Answer: B
Rationale: Pulsus paradoxus is an exaggerated drop in systolic BP during inspiration.
Extract:
Screening for high blood cholesterol in the community is under:
Question 5 of 5
Screening for high blood cholesterol in the community is under:
Correct Answer: C
Rationale: Cholesterol screening is secondary prevention, identifying at-risk individuals for early intervention.