NCLEX-PN
Free NCLEX-PN Practice Questions 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
In the context of Mr. H's chest tubes, part of his routine assessment include:
Correct Answer: B
Rationale: Palpating for crepitus detects subcutaneous emphysema, a potential complication.
Extract:
While caring for a young child in Bryant's traction
Question 2 of 5
The nurse should be aware that the traction is no longer effective if:
Correct Answer: D
Rationale: The principle of Bryant's traction is bilateral 90° hip flexion. It is skin traction applied to the legs to decrease the fracture, maintain alignment, and immobilize both legs. If the hips touch the bed, the traction is not maintaining the required position.
Extract:
A patient with a tentative diagnosis of cholecystitis is discharged from the emergency room with instructions to make an appointment for a more definitive diagnosis workup.
Question 3 of 5
The recommendation that would produce the most valuable diagnostic information would be:
Correct Answer: A
Rationale: A pain journal helps identify triggers and patterns, aiding cholecystitis diagnosis.
Extract:
Question 4 of 5
A throat culture is positive for Streptococcus. An antibiotic is prescribed. Which question is it essential for the nurse to ask the client before administering the medication?
Correct Answer: D
Rationale: Streptococcal infections are commonly treated with penicillin or related antibiotics. Asking about penicillin allergies is critical to prevent anaphylaxis. Sulfa, vitamins, or alcohol are less relevant.
Extract:
A client's monitor shows a PQRST wave for each beat and indicates a rate of 120. The rhythm is regular.
Question 5 of 5
The nurse should note that the client is experiencing:
Correct Answer: B
Rationale: A regular rhythm with a rate of 120 and normal PQRST waves indicates sinus tachycardia.