NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
When a patient return from the recovery room following a subtotal thyroidectomy, the nurse should immediately
Question 1 of 5
inspect the incision.
Correct Answer: D
Rationale: Thyroid surgery sometimes results in accidental removal of the parathyroid glands. A resultant hypocalcemia may lead to contraction of the glottis, causing airway obstruction; edema also causes obstruction. Having a tracheostomy set ready is critical.
Extract:
Question 2 of 5
A 17-year-old female was raped by a young man in her neighborhood. She is in the Emergency Department for evaluation and tests. After the procedure is completed, a rape crisis counselor (nurse specialist) talks to the client in a conference room regarding the rape. Implementing counseling by the nurse specialist for the raped victim represents:
Correct Answer: B
Rationale: Counseling by a rape crisis nurse specialist is a form of crisis intervention, providing immediate support to address the trauma. It is not merely assessment, empathy, or intrusion. Coordinated Care
Question 3 of 5
For a client with Graves' disease, which nursing intervention promotes comfort?
Correct Answer: D
Rationale: Graves' disease causes signs and symptoms of hypermetabolism, such as heat intolerance, diaphoresis, excessive thirst and appetite, and weight loss.
To reduce heat intolerance and diaphoresis, the nurse should keep the client's room temperature in the low-normal range.
To replace fluids lost via diaphoresis, the nurse should encourage, not restrict, intake of oral fluids. Placing extra blankets on the bed of a client with heat intolerance would cause discomfort.
To provide needed energy and calories, the nurse should encourage the client to eat high-carbohydrate foods.
Question 4 of 5
The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephrotic syndrome. The nurse should:
Correct Answer: A
Rationale: Cyclophosphamide is nephrotoxic; extra fluids promote excretion and reduce bladder toxicity. Low-protein diets are not indicated, mild soap is unrelated, and joints are not typically inflamed in nephrotic syndrome.
Question 5 of 5
The nurse is assessing a client with suspected rheumatoid arthritis. Which of the following findings would support this diagnosis?
Correct Answer: A
Rationale: Morning stiffness lasting over 30 minutes is a hallmark of rheumatoid arthritis due to synovial inflammation. Heberden’s nodes (
B) indicate osteoarthritis, single-joint pain (
C) suggests injury, and fever/weight loss (
D) are nonspecific without joint involvement.