NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Pulsus Paradoxus is best described as
Question 1 of 5
Pulsus Paradoxus is best described as
Correct Answer: B
Rationale: Pulsus paradoxus is an exaggerated drop in systolic BP during inspiration.
Extract:
Question 2 of 5
The nurse is caring for a client with delirium. Which of the following is most important for the nurse to provide the client?
Correct Answer: A
Rationale: Providing a safe environment is the most important aspect of caring for a client with delirium. Although all other options are logical and appropriate, meeting the client's safety needs takes priority.
Question 3 of 5
During a first aid class, the nurse instructs clients on the emergency care of second-degree burns. The nurse knows that which of the following interventions for second-degree burns of the chest and arms will BEST prevent infection?
Correct Answer: B
Rationale: After extinguishing the fire, removing clothing and wrapping the victim in a clean sheet prevents contamination and infection in second-degree burns. Soap or ointments (A,
C) are contraindicated in emergencies, and delaying action (
D) increases infection risk.
Question 4 of 5
A client received six units of regular insulin three hours ago. The nurse would be MOST concerned if which of the following was observed?
Correct Answer: C
Rationale: Regular insulin peaks in 2–4 hours, and the symptoms in choice C (diaphoresis and trembling) are classic signs of hypoglycemia, a potential complication at this time. Hypoglycemia requires immediate intervention, such as administering skim milk or glucose.
Choice A indicates hyperglycemia (Kussmaul respirations), and choices B and D are not specific to hypoglycemia.
Extract:
The nurse has performed the initial assessments of 4 patients admitted with an acute episode of asthma.
Question 5 of 5
Which assessment finding would cause the nurse to call the health provider immediately?
Correct Answer: B
Rationale: Acute asthma is characterized by expiratory wheezes. Sudden cessation of wheezing is an ominous sign indicating that the small airways are collapsed, requiring immediate intervention.