NCLEX Questions, NCLEX-PN Free Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

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NCLEX-PN Free Practice Questions Questions

Extract:

Mr. Dubin is admitted with a diagnosis of severe anemia. He was ordered two units of packed cells.


Question 1 of 5

Should Mr. Dubin develops hemolytic transfusion reaction, nurse will immediately stop the transfusion and then

Correct Answer: A

Rationale: Normal Saline is compatible with blood transfusion and should be run to maintain IV access after stopping the transfusion. The physician must be informed after running the NS.

Extract:


Question 2 of 5

Which of the following is a correctly stated nursing diagnosis for a client with abruptio placentae?

Correct Answer: D

Rationale: Abruptio placentae causes hemorrhage due to premature placental separation, leading to fluid volume deficit, a major nursing concern. Infection (
A) is unrelated, and choices B and C are incorrectly phrased nursing diagnoses.

Question 3 of 5

A toddler is diagnosed with a dislocated right shoulder and a simple fracture of the right humerus. Which behavior most strongly suggests that the child's injuries stem from abuse?

Correct Answer: D

Rationale: Not crying when moved most strongly suggests child abuse. A victim of child abuse typically doesn't complain of pain, even with obvious injuries, for fear of further displeasing the abuser. Trying to sit up on the stretcher is a typical client response. Trying to move away from the nurse indicates fear of strangers, which is normal in a toddler. Difficulty answering the nurse's questions is expected in a toddler because of poorly developed cognitive skills.

Question 4 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.

Extract:

The patient with DM is for discharged.


Question 5 of 5

The nurse who makes home care plan will take which one as priority?

Correct Answer: A

Rationale: Glucose monitoring is the priority to manage diabetes and prevent complications.

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