NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
The patient who was admitted with Emphysema was receiving oxygen at 6 L/min via nasal prong. At the beginning of the shift, during nurses' rounds, the patient was noted to be lethargic although arousable; skin is flushed and respirations were down to 8/minute.
Question 1 of 5
Priority nursing intervention would include:
Correct Answer: C
Rationale: In emphysema, high oxygen levels can suppress the respiratory drive, leading to hypoventilation. Reducing oxygen to 2 L/min is the priority to restore respiratory drive.
Extract:
Question 2 of 5
A client with Alzheimer's disease mumbles incoherently and rambles in a confused manner. To help redirect the client's attention, the nurse should encourage the client to:
Correct Answer: A
Rationale: Folding towels and pillowcases is a simple activity that redirects the client's attention. Also, because this activity is familiar, the client is likely to perform it successfully. Cards, charades, and aerobic exercise are too complicated for a confused client.
Question 3 of 5
A six-month-old client with a ventricular septal defect is receiving Lanoxin elixir for regulation of his heart rate. Which finding should be reported to the doctor?
Correct Answer: C
Rationale: A heart rate of 60 in the six-month-old receiving Lanoxin elixir (digoxin) should be reported immediately because bradycardia is associated with digoxin toxicity. The blood glucose, blood pressure, and respirations are not associated with administration of Lanoxin, so answers A, B, and D are incorrect.
Extract:
The mother of the child with Leukemia asks the nurse about the life span of the RBC.
Question 4 of 5
The correct response is:
Correct Answer: D
Rationale: Red blood cells have a lifespan of approximately 120 days.
Extract:
Question 5 of 5
A woman has been recently diagnosed with systemic lupus and shares with the nurse, 'I am thinking about getting pregnant, but I don't know how I will be able to tolerate a pregnancy since I have lupus.' Which of the following responses by the nurse is BEST?
Correct Answer: B
Rationale: Systemic lupus erythematosus (SLE) increases maternal morbidity and mortality during pregnancy, and active disease can exacerbate complications. Pregnancy is safest when SLE is in remission for at least 5–6 months prior to conception. Asking about remission status assesses the client’s disease activity, which is critical for planning a safe pregnancy.
Choice A is inaccurate, as SLE symptoms may worsen; choice C is false, as gestation length is unaffected; and choice D is incorrect, as conception is recommended after 2 years of stable disease.