NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
When assessing an individual with a spontaneous pneumothorax, there is a danger of mediastinal shift.
Question 1 of 5
Mediastinal shift is described as:
Correct Answer: A
Rationale: Mediastinal shift involves tracheal deviation to the unaffected side due to pressure imbalance.
Extract:
Question 2 of 5
Which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours after the procedure?
Correct Answer: B
Rationale: Thrombus formation in the coronary arteries is a potential problem in the initial 24 hours after a cardiac catheterization. A falling BP occurs along with hemorrhage of the insertion site which is within the first 12 hours after the procedure.
Extract:
While working on his motor bike, a 19-year-old sustains a puncture wound from a rusty metal. He presents himself to the ER of local hospital. The puncture wound is cleansed with hydrogen peroxide and a sterile dressing applied. The client confirmed that he is up-to-date with his tetanus immunization. Antibiotic was prescribed and administered and the client was sent home with instructions to return if there is any change in the wound area. Three days following the ER visit, the client is admitted to the hospital with a diagnosis of tetanus.
Question 3 of 5
Nursing care for client includes:
Correct Answer: A
Rationale: The slightest stimulation sets off a wave of very severe and painful muscle spasms involving the whole body. Admitting the client to a private room minimizes stimuli and reduces the risk of spasms.
Extract:
Question 4 of 5
The parents of a toddler ask the nurse how long their child will have to sit in a car seat while in the automobile. What is the nurse's best response to the parents?
Correct Answer: A
Rationale: Your child must use a car seat until he weighs at least 40 pounds.' Children should use car seats until they weigh 40 pounds.
Question 5 of 5
A schizophrenic client talks animatedly but the staff are unable to understand what the client is communicating. The client is observed mumbling to herself and speaking to the radio. A desirable outcome for this client's care will be
Correct Answer: D
Rationale: Engages in meaningful and understandable verbal communication. The outcome addresses the impaired verbal communication deficit observed in the client.