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:
At the well-baby clinic, the nurse follows certain sequence of the baby's assessment
Question 2 of 5
The nurse follows certain sequence of the baby's assessment that includes:
Correct Answer: D
Rationale: Assessing temperature first avoids influencing it, followed by weight, respiratory rate, and heart rate for a comprehensive evaluation.
Extract:
Question 3 of 5
When administering intravenous electrolyte solution, the nurse should take which of the following precautions?
Correct Answer: C
Rationale: Calcium infiltration can cause tissue necrosis, so preventing it is critical. Hypertonic solutions should be infused cautiously, potassium is typically limited to 60 mEq/L, and calcium's effect on digitalis is not a primary concern here. Physiological Adaptation
Question 4 of 5
The nurse is caring for an adult who is being admitted to the unit for detoxification from alcohol. Which comment is the client most likely to make at this time?
Correct Answer: B
Rationale: Denial is common in early alcohol detoxification, with clients often minimizing their problem or attributing treatment to external pressures.
Extract:
Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia. She enters complete remission with intensive induction of chemotherapy, but she relapses after 3 months of maintenance of chemotherapy with vincristine, prednisone, methotrexate and mercaptopurine. She develops a neutropenia from the chemotherapy. On admission, her lab results came back with WBC 15000, Hemoglobin 8 mg/dl; platelet 94,000. She complains of ache all over her body, her gum bleeds very easily. Vital signs include BP 70/40; HR 130, RR 28; Temp 38°C
Question 5 of 5
Which of the following are consistent with Leukemia?
Correct Answer: C
Rationale: Bruising and petechiae result from low platelets, common in leukemia.