NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
In caring for a patient with ALS (Amyotrophic Lateral Sclerosis)
Question 1 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 2 of 5
A young woman is transferred to a psychiatric crisis unit with a diagnosis of a dissociative disorder. The nurse knows which of the following comments by the client is MOST indicative of this disorder?
Correct Answer: B
Rationale: Dissociative disorders involve detachment from reality, such as feeling disconnected from surroundings (depersonalization/derealization), as in choice B. Nightmares (
A) suggest PTSD, fear of dying (
C) indicates panic disorder, and checking locks (
D) points to OCD.
Question 3 of 5
The nurse is caring for a client with skin grafts covering third-degree burns on the arms and legs. During dressing changes, the nurse should be sure to:
Correct Answer: B
Rationale: Wrapping elastic bandages on dependent areas limits edema formation and bleeding and promotes graft acceptance. The nurse should wrap the client's arms and legs from the distal to proximal ends and use strict sterile technique throughout the dressing change. Applying maximum bandages should be avoided because bulky dressings limit mobility; instead, the nurse should use enough bandages to absorb wound drainage. Sterile gloves are required throughout all phases of the dressing change to prevent contamination.
Question 4 of 5
The LPN/LVN in a long-term care facility sees and hears a nursing assistant give a resident a hard slap. What initial action should the LPN/LVN take?
Correct Answer: B
Rationale: Reporting to the supervisor ensures immediate investigation of abuse, protecting the resident. Monitoring, writing reports, or police involvement are secondary.
Question 5 of 5
Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with:
Correct Answer: A
Rationale: Erythropoietin stimulates red blood cell production, requiring iron, folic acid, and B12 for effectiveness. The other options are not directly related to erythropoiesis. Physiological Adaptation