NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
On the patient with pancreatitis
Question 1 of 5
On the patient with pancreatitis, which of the following is decreased in level?
Correct Answer: A
Rationale: Urine amylase is not typically decreased in pancreatitis; however, among the options, it's the most relevant as serum amylase is elevated, not urine.
Extract:
Question 2 of 5
The nurse is caring for a client who had a total hip replacement 4 days ago. Which assessment requires the nurse's immediate attention?
Correct Answer: B
Rationale: I just can't 'catch my breath' over the past few minutes and I think I am in grave danger.' Sudden onset of shortness of breath in a post-operative client, especially after a total hip replacement, may indicate a pulmonary embolism or other serious respiratory complication, requiring immediate assessment and intervention.
Extract:
Ms. Wilson has undergone total thyroidectomy.
Question 3 of 5
Following surgery, the patient should be observed for signs and symptoms of thyroid storm. Which of the following is consistent with thyroid storm?
Correct Answer: A
Rationale: Tachycardia, such as a heart rate of 180 bpm, is one of the manifestations of thyroid storm, a life-threatening condition.
Extract:
Question 4 of 5
An adult is admitted for surgery for a secreting adrenal tumor. In the immediate postoperative period, which nursing action will be highest priority?
Correct Answer: B
Rationale: Adrenal tumor resection may cause adrenal insufficiency; administering adrenal hormones is critical to replace deficient cortisol, preventing crisis. Liquids, breathing exercises, and pain management are secondary.
Question 5 of 5
The nurse is supervising an unlicensed person who is giving oral care to an unconscious client. Which observation indicates that the unlicensed person needs further instruction?
Correct Answer: B
Rationale: An upright position risks aspiration in an unconscious client; lateral positioning with head turned prevents this, indicating a need for instruction.