NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Jaundiced patients are susceptible to postoperative hemorrhage because their blood does not clot normally due to the fact that:
Question 1 of 5
Jaundiced patients are susceptible to postoperative hemorrhage because their blood does not clot normally due to the fact that:
Correct Answer: D
Rationale: Lack of bile reduces vitamin K absorption, impairing prothrombin synthesis and clotting.
Extract:
Question 2 of 5
A 76-year-old man living at the long-term care facility has lost 10 lb in the last two months. He states that although he has had dentures for two years, they have not felt comfortable for the past three or four months so he rarely uses them at mealtime. The nurse's first priority would be to ask the client's physician to do which of the following?
Correct Answer: B
Rationale: A dental consult addresses ill-fitting dentures, the root cause of weight loss, prioritizing correction to improve nutrition.
Question 3 of 5
A hospitalized client asks the nurse for 'something for pain.' Which information is most important for the nurse to gather before administering the medication? Select all that apply:
Correct Answer: A,B,C,D,F
Rationale: The nurse needs to know when the last dose was administered. Some clients request pain medication earlier than is ordered by the physician. Pain, the fifth vital sign, should be assessed using a pain scale and documented in the nursing notes whenever a pain medication is given. Pain is usually reassessed about 30 minutes after the medication is given. Physicians commonly order several different types of pain medication based on the client's condition. The nurse should know which medication and which route was used to administer prior dosages. Evaluating the effectiveness of medications is also an important nursing function when managing the client's pain.
Therefore, she should ask the client if the prior dose was helpful. The nurse should also note whether the client experienced any adverse effects of the medication. Most medications are ordered based on the client's admission weight, not current weight and height. A client's weight may fluctuate when he's in the hospital, so it's unlikely that the nurse will have the most current weight available. Also, taking steps to obtain the client's current weight postpones the pain treatment and can potentially worsen pain.
Question 4 of 5
A 6-year old is diagnosed with scarlet fever. Which oral manifestation is associated with scarlet fever?
Correct Answer: C
Rationale: Scarlet fever causes a characteristic strawberry tongue (red or white-coated). White spots suggest thrush, grayish membranes indicate diphtheria, and black tongue is unrelated.
Extract:
Mr. Dubin is admitted with a diagnosis of severe anemia. He was ordered two units of packed cells.
Question 5 of 5
Should Mr. Dubin develops hemolytic transfusion reaction, nurse will immediately stop the transfusion and then
Correct Answer: A
Rationale: Normal Saline is compatible with blood transfusion and should be run to maintain IV access after stopping the transfusion. The physician must be informed after running the NS.