NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
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 1 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 2 of 5
A client, age 28, was recently diagnosed with Hodgkin's disease. After staging, therapy is planned to include combination radiation therapy and systemic chemotherapy with MOPP—nitrogen mustard, vincristine (Oncovin), prednisone, and procarbazine. In planning care for this client, the nurse should anticipate which of the following side effects to contribute to a sense of altered body image?
Correct Answer: B
Rationale: Alopecia, or hair loss, is a common side effect of chemotherapy (e.g., vincristine) and radiation, significantly affecting body image. Pathologic fractures are not typical, and sterility or cushingoid appearance have less direct impact on body image. Physiological Adaptation
Question 3 of 5
Which instruction should be included in the discharge teaching for a client with cataract surgery?
Correct Answer: B
Rationale: Wearing an eye shield at night protects the surgical site from accidental trauma during sleep, a standard post-cataract surgery instruction.
Question 4 of 5
The registered nurse (RN) is planning care at a team meeting for a 2 month-old child in bilateral leg casts for congenital clubfoot. Which of these outcomes suggested by the practical nurse (PN) should be considered the priority nursing goal following cast application?
Correct Answer: D
Rationale: Tissue perfusion will be maintained. Immediately following cast application, the chief goal is to maintain circulation and tissue perfusion around the cast. Permanent tissue damage can occur within a few hours if perfusion is not maintained.
Question 5 of 5
The licensed practical nurse is making assignments for the nursing assistant. Which client should be assigned to the nursing assistant?
Correct Answer: B
Rationale: A client with total knee repair is stable and suitable for a nursing assistant's care (e.g., basic mobility, hygiene). Alzheimer's , laparotomy , and diverticulitis require more complex nursing assessments.