NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguinous drainage on the dressing. The most appropriate intervention is to:
Correct Answer: C
Rationale: Serosanguinous drainage is normal post-cholecystectomy; reinforcing the dressing is appropriate to manage it. Changing the dressing risks infection, and a binder may obscure assessment. Basic Care and Comfort
Extract:
To evaluate possible laryngeal nerve injury following a thyroidectomy, the nurse on an hourly basis should:
Question 2 of 5
Ask the patient to speak.
Correct Answer: A
Rationale: If the laryngeal nerves are injured bilaterally during surgery, the vocal cords will tighten, interfering with speech. If one cord is affected, hoarseness develops. This can be evaluated simply by having the patient speak every hour.
Extract:
The nurse is reviewing laboratory results on a client with acute renal failure.
Question 3 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 4 of 5
The nurse is caring for a woman admitted with thrombocytopenia. Which instruction should the nurse give the client?
Correct Answer: B
Rationale: Thrombocytopenia increases bleeding risk; avoiding dental floss or firm toothbrushes prevents gum bleeding, a priority precaution.
Question 5 of 5
When admitting a client to an acute care facility, an identification bracelet is sent up with the admission form. In the event these do not match, the nurse's best action is to
Correct Answer: C
Rationale: The Admissions Office has the responsibility to verify the client's identity and keep all the records in the system consistent. Making changes puts the client at risk for misidentification.