NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Two hours post below knee amputation, the patient's dressing was saturated with serosanguinous secretions.
Question 1 of 5
In addition to notifying the surgeon, the priority nursing action would include:
Correct Answer: C
Rationale: Reinforcing the dressing helps control bleeding while awaiting further instructions from the surgeon, addressing the immediate issue of saturated dressings.
Extract:
Question 2 of 5
A primigravida, 26 years old and 33 weeks gestation, is admitted to the hospital with painless vaginal bleeding. She reports that the bleeding, which started 2 hours ago, has lessened in amount. Which of the following measures should be included in the client's care?
Correct Answer: B
Rationale: Counting the number of pads used quantifies blood loss, aiding in the assessment of conditions like placenta previa, which causes painless bleeding.
Question 3 of 5
A 9-year old is admitted with suspected rheumatic fever. Which finding is suggestive of Sydenham's chorea?
Correct Answer: A
Rationale: Sydenham's chorea, a manifestation—of rheumatic fever, causes irregular movements and facial grimacing. Other options describe rheumatoid arthritis or other conditions.
Extract:
One of the following is not a symptom of the patient with right sided heart failure:
Question 4 of 5
Weight gain
Correct Answer: C
Rationale: Right-sided heart failure causes jugular vein distension, not flattened neck veins.
Extract:
Question 5 of 5
While repositioning a comatose client, the nurse senses a tingling sensation as she lowers the bed. What action should she take?
Correct Answer: A
Rationale: Shutting off the bed's electricity should be the initial step. The nurse should not touch the client until the bed is checked for faulty grounding.