NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
B.C underwent skin grafting. Vital signs are BP 124/68; HR 100 bpm; RR 24; T 37.7 °C.
Question 1 of 5
Potential complication that can be possibly developed will be:
Correct Answer: A
Rationale: Infection, such as sepsis, is a serious complication of skin grafting due to the risk of microbial invasion at the graft site.
Extract:
Loss of peripheral vascular resistance:
Question 2 of 5
Loss of peripheral vascular resistance:
Correct Answer: A
Rationale: Loss of peripheral vascular resistance leads to hypotension due to vasodilation.
Extract:
Question 3 of 5
A nurse is caring for a patient with diabetes mellitus who is experiencing hyperglycemia. Which of the following interventions should the nurse implement? (Select all that apply)
Correct Answer: A,B,D,E
Rationale: Insulin corrects hyperglycemia, sugar-free fluids prevent dehydration, monitoring tracks progress, and DKA assessment detects complications. Carbohydrate snacks worsen hyperglycemia.
Question 4 of 5
The nurse assesses a client who gave birth 24 hours earlier. Which of the following findings reveals the need for further evaluation?
Correct Answer: B
Rationale: During the early postpartum period, lochia rubra should be moderate to significant. Scant lochia rubra suggests that large clots are blocking the lochial flow. After delivery, vasomotor changes may cause a shaking chill. Thirst, fatigue, and a temperature of up to 100.4°F (38°
C) also are common at 24 hours postpartum.
Extract:
A young female patient comes to the physician because she has been experiencing fatigue and double vision. The physician suspects myasthenia gravis.
Question 5 of 5
When obtaining information from the patient, the nurse would expect her to report that:
Correct Answer: D
Rationale: Myasthenia gravis symptoms worsen with activity and are more severe in the evening due to muscle fatigue.