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:
The patient has been receiving 2500 ml of IV fluid and 300 to 400 ml of oral intake daily for 2 days. The patient's urine output has been decreasing and now has been less than 40 ml per hour for the past 3 hours.
Question 2 of 5
The nurse should immediately:
Correct Answer: B
Rationale: The imbalance in intake and output, with decreasing urinary output, may indicate renal failure or fluid overload, potentially leading to congestive heart failure. Assessing breath sounds and vital signs is the first step.
Extract:
Given Mr. Smith's clinical picture
Question 3 of 5
Which of the following would be the first diagnostic tests that must be performed?
Correct Answer: A
Rationale: Given suspicion of a stroke, the first test to perform would be a CT scan to determine the presence or absence of hemorrhage.
Extract:
Question 4 of 5
The nurse is caring for an adult who had abdominal surgery yesterday. When the nurse encourages the client to take some deep breaths and cough, the client tells the nurse, 'It hurts when I cough. I just can't do it.' What is the nurse's best response?
Correct Answer: C
Rationale: Splinting the incision with a pillow reduces pain during coughing, promoting effective lung expansion to prevent pneumonia.
Question 5 of 5
A client complains of pain and itching from herpes zoster. Which of the following provides temporary relief?
Correct Answer: B
Rationale: Blowing cool air can soothe the pain and itching of herpes zoster by reducing skin irritation without exacerbating the condition.