NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
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 1 of 5
Important patient teaching on chest tube due to pneumothorax will include
Correct Answer: A
Rationale: Intermittent bubbling is normal in pneumothorax, indicating air evacuation.
Extract:
In caring for a patient with ALS (Amyotrophic Lateral Sclerosis)
Question 2 of 5
In caring for a patient with ALS (Amyotrophic Lateral Sclerosis), the nursing diagnosis with the HIGHEST priority would be:
Correct Answer: C
Rationale: Ineffective airway clearance is the highest priority due to risk of respiratory failure in ALS.
Extract:
Question 3 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.
Question 4 of 5
The nurse is assessing a client with a suspected urinary tract infection (UTI). Which of the following symptoms would the nurse expect to find?
Correct Answer: A
Rationale: Burning on urination (dysuria) is a hallmark symptom of a UTI due to bladder mucosal irritation. Flank pain (
B) suggests kidney stones or pyelonephritis, vomiting/diarrhea (
C) indicate gastroenteritis, and chest pain (
D) is unrelated.
Extract:
Which of the following conditions indicate adrenal insufficiency in a critically ill patient?
Question 5 of 5
Hypoglycemia and hyperkalemia.
Correct Answer: A
Rationale: Due to decreased cortisol (anti-insulin) and decreased aldosterone (sodium) levels in Addison's disease, the patient experiences hypoglycemia and hyperkalemia.