NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
During the beginning shift assessment of a client with asthma who is receiving oxygen per nasal cannula at 2 liters per minute, the nurse would be most concerned about which unreported finding?
Correct Answer: C
Rationale: Of the given findings this has the greatest risk for potential complications. Shallow and rapid respirations may indicate that the client is losing muscle strength required to breathe. The intermittent wheezes could be an indication of an increase in narrowed small airways and a worsening condition.
Question 2 of 5
The nurse notes all of the following. Which situation needs immediate attention?
Correct Answer: C
Rationale: A water spill near an ambulatory client's bed poses an immediate fall risk, requiring prompt attention. Linen, dishes, or bed height are less urgent.
Question 3 of 5
A patient with chronic kidney disease is receiving hemodialysis. Which of the following assessments is most important before starting the dialysis session?
Correct Answer: A
Rationale: Blood pressure assessment prevents complications like hypotension during dialysis, a common risk in renal failure. Respiratory rate, heart rate, and temperature are monitored but less critical.
Question 4 of 5
A 6-week-old infant is admitted with suspected pyloric stenosis. Which finding is characteristic of the infant with pyloric stenosis?
Correct Answer: B
Rationale: Pyloric stenosis presents with a palpable, olive-shaped mass in the epigastrium due to pyloric muscle hypertrophy. Colicky pain is nonspecific, currant jelly stools suggest intussusception, and grain intolerance indicates celiac disease.
Question 5 of 5
The nurse collects data on a client shortly after kidney transplant surgery. Which postoperative finding must the nurse report to the physician immediately?
Correct Answer: D
Rationale: Because kidney transplantation carries the risk of transplant rejection, infection, and other serious complications, the nurse should monitor the client's urinary function closely. A decrease from the normal urine output of 30 ml/hour is significant and warrants immediate physician notification. The other options are normal data collection findings.