NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
After a patient with multiple fractures of the left femur is admitted to the hospital for surgery, the patient demonstrates cyanosis, tachycardia, dyspnea, and restlessness.
Question 1 of 5
Initially the nurse should:
Correct Answer: A
Rationale: Symptoms suggest fat embolism syndrome, and oxygen administration is the priority to address hypoxia.
Extract:
Question 2 of 5
The nurse is caring for a client with a serum potassium level of 3.5 mEq/L. The client is placed on a cardiac monitor and receives 40 mEq KCL in 1000 ml of 5% dextrose in water IV. Which of the following EKG patterns indicates to the nurse that the infusions should be discontinued?
Correct Answer: C
Rationale: A tall peaked T wave is a sign of hyperkalemia. The provider should be notified regarding discontinuing the medication.
Question 3 of 5
Several passengers aboard an airliner suddenly become weak and suffer breathing difficulty. The diagnosis is likely to be:
Correct Answer: B
Rationale: Sudden, simultaneous symptoms in a group suggest chemical exposure, likely affecting the respiratory system. The other conditions are less likely to cause acute, collective symptoms. Safety and Infection Control
Question 4 of 5
Which safety device is most restrictive for a client with dementia?
Correct Answer: D
Rationale: The goal of care for clients with dementia is to maintain the highest level of functioning. When restraints must be used, the least restrictive type of restraint possible should be used. A lap tray over a wheelchair severely limits the client's mobility and can cause injury if the client tries to get out of the wheelchair. A walker can be very helpful to clients with dementia as they commonly have unsteady gaits. Childproof locks are helpful in preventing accidental contact with harmful substances. An electronic monitoring system is an effective way of managing a client who wanders.
Extract:
Hypophonia:
Question 5 of 5
Hypophonia:
Correct Answer: A
Rationale: Hypophonia is reduced speech volume, often seen in Parkinson's disease.