NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
In teaching clients with Buck's Traction, the major areas of importance should be:
Correct Answer: C
Rationale: Nutrition, elimination, comfort, and safety are critical for clients in Buck's traction to prevent complications like pressure ulcers or constipation. ROM and isotonic exercises may not be feasible. Basic Care and Comfort
Question 2 of 5
A client complained of nausea, a metallic taste in her mouth, and fine hand tremors 2 hours after her first dose of lithium carbonate (Lithane). What is the nurse's best explanation of these findings?
Correct Answer: A
Rationale: These side effects are common and should subside in a few days. Nausea, metallic taste, and fine hand tremors are common side effects that usually subside quickly.
Extract:
Six hours following bilateral hip replacement, an 80-year-old woman, transferred in from the Recovery Room to the Surgical Unit was observed to be confused and lethargic; VS are BP 82/56; HR 120; RR 28; skin cool and clammy; no c/o SOB; lungs sounds clear; u/o 20 ml/hour; T 36.5°C; WBC 9000.
Question 3 of 5
Based on this information, what condition appears to be developing?
Correct Answer: D
Rationale: Low blood pressure, tachycardia, and low urine output suggest hypovolemic shock, likely from postoperative bleeding.
Extract:
Question 4 of 5
While planning care for a preschool aged child, the nurse takes developmental needs into consideration. Which of the following would be of the most concern to the nurse?
Correct Answer: B
Rationale: Expressing shame. Preschoolers should show initiative, having resolved shame and doubt in the toddler stage.
Question 5 of 5
The nurse is caring for a client with a chest tube connected to a water-seal drainage system. The nurse observes continuous bubbling in the water-seal chamber. The nurse should
Correct Answer: A
Rationale: Continuous bubbling in the water-seal chamber indicates an air leak in the system (e.g., loose connections or lung leak), requiring assessment to locate and correct it. Increasing suction (
B) won’t fix the leak, clamping (
C) is dangerous, and notifying the physician (
D) follows assessment.