NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
During a routine examination, the nurse notes that the client seems unusually anxious. Anxiety can affect the genitourinary system by:
Correct Answer: D
Rationale: Anxiety may stimulate or hinder micturition. Its most noticeable effect is to cause frequent voiding and urinary urgency. However, when anxiety leads to generalized muscle tension, it may hinder urination because the perineal muscles must relax to complete micturition. Anxiety doesn't slow the glomerular filtration rate, increase sodium resorption, or decrease potassium excretion.
Question 2 of 5
The nurse is caring for a postcholecystectomy client who had the T-tube removed this AM. Two hours after removal of the T-tube, the nurse notes that the 4x4 dressing covering the stab site is saturated with dark, greenish-yellow drainage. It is MOST appropriate for the nurse to take which of the following actions?
Correct Answer: A
Rationale: Dark, greenish-yellow drainage is expected bile post-T-tube removal, and a saturated dressing indicates ongoing drainage until the wound seals. Replacing with a more absorbent dressing keeps the site clean and dry, preventing infection. Culturing (
B) is unnecessary without infection signs, dehiscence (
C) is unlikely, and reinforcing (
D) risks infection.
Extract:
Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia. She develops a neutropenia from the chemotherapy.
Question 3 of 5
Neutropenia means
Correct Answer: A
Rationale: Neutropenia involves low neutrophils, often with low WBC, platelets, and RBC in leukemia.
Extract:
The nurse is reviewing laboratory results on a client with acute renal failure.
Question 4 of 5
Which one of the following lab values should be reported immediately?
Correct Answer: D
Rationale: A serum potassium of 5.9 mEq/L indicates hyperkalemia, which can cause life-threatening cardiac arrhythmias and requires immediate reporting.
Extract:
Question 5 of 5
The nurse is caring for a client with delirium. Which of the following is most important for the nurse to provide the client?
Correct Answer: A
Rationale: Providing a safe environment is the most important aspect of caring for a client with delirium. Although all other options are logical and appropriate, meeting the client's safety needs takes priority.