NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
During the second phase of bum recovery, the nurse anticipates that the client will exhibit
Question 1 of 5
high serum potassium level.
Correct Answer: B
Rationale: An increased urinary output is a sign of adequate hydration during the second phase of burn recovery.
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 2 of 5
What is most likely occurring when persistent bubbling exist in the water seal chamber of a chest drainage device?
Correct Answer: D
Rationale: Persistent bubbling indicates an air leak, either in the system or from the lung.
Extract:
Question 3 of 5
The nurse is caring for a person admitted with myasthenia gravis. What should be included in the nursing care plan for this person?
Correct Answer: B
Rationale: Myasthenia gravis causes muscle weakness, increasing aspiration risk; checking swallowing reflexes ensures safe feeding. Other actions are irrelevant.
Extract:
A 28-year-old male with history of diabetes has been found wandering around in a confused pattern. The male is sweaty and pale.
Question 4 of 5
Which of the following tests is most likely to be performed first?
Correct Answer: A
Rationale: Confusion, sweating, and pallor in a diabetic suggest hypoglycemia, requiring immediate blood sugar testing.
Extract:
While caring for a young child in Bryant's traction
Question 5 of 5
The nurse should be aware that the traction is no longer effective if:
Correct Answer: D
Rationale: The principle of Bryant's traction is bilateral 90° hip flexion. It is skin traction applied to the legs to decrease the fracture, maintain alignment, and immobilize both legs. If the hips touch the bed, the traction is not maintaining the required position.