NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
Oxygen has been ordered for a client who was admitted to the hospital with congestive heart failure. Which assessment finding indicates that the oxygen has been effective?
Correct Answer: B
Rationale: A decreased respiratory rate indicates improved oxygenation, alleviating respiratory distress in congestive heart failure.
Question 2 of 5
Which activity should not be assigned to an unlicensed person?
Correct Answer: D
Rationale: Completing the 24-hour intake and output record involves calculation and analysis, beyond the scope of unlicensed personnel, requiring nursing judgment.
Extract:
Lynn Tyrell 60 years old is attending the group therapy when all of a sudden she collapses
Question 3 of 5
The nurse
Correct Answer: C
Rationale: Checking for unresponsiveness is the first step in the CPR protocol to determine the need for intervention.
Extract:
Question 4 of 5
The nurse is caring for a client with skin grafts covering third-degree burns on the arms and legs. During dressing changes, the nurse should be sure to:
Correct Answer: B
Rationale: Wrapping elastic bandages on dependent areas limits edema formation and bleeding and promotes graft acceptance. The nurse should wrap the client's arms and legs from the distal to proximal ends and use strict sterile technique throughout the dressing change. Applying maximum bandages should be avoided because bulky dressings limit mobility; instead, the nurse should use enough bandages to absorb wound drainage. Sterile gloves are required throughout all phases of the dressing change to prevent contamination.
Question 5 of 5
The nurse is caring for a client who has been on bed rest for several weeks. Which problem is least likely to be related to bed rest?
Correct Answer: C
Rationale: Varicose veins are primarily genetic or occupational, not directly caused by bed rest. Muscle atrophy, pneumonia, and thrombophlebitis are common bed rest complications.