NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Highest priority for the patient with a diagnosis of leukemia:
Question 1 of 5
Implementation of reverse isolation.
Correct Answer: A
Rationale: Reverse isolation protects the immunocompromised leukemia patient from infections.
Extract:
Cardiac output:
Question 2 of 5
Cardiac output:
Correct Answer: A
Rationale: Cardiac output is the volume of blood the left ventricle ejects per minute.
Extract:
Question 3 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
Question 4 of 5
The nurse is caring for a client with a history of breast cancer who is receiving chemotherapy. Which of the following side effects should the nurse monitor for?
Correct Answer: C
Rationale: Nausea and vomiting are common chemotherapy side effects due to gastrointestinal irritation and require monitoring for dehydration or malnutrition. Increased appetite (
A) and energy (
D) are unlikely, and white blood cell count (
B) typically decreases (neutropenia).
Question 5 of 5
Which sign might the nurse see in a client with a high ammonia level?
Correct Answer: A
Rationale: High ammonia levels, often due to liver dysfunction, can lead to hepatic encephalopathy, with coma as a severe symptom. The other signs are not directly related to hyperammonemia. Reduction of Risk Potential