NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
Signs of impaired breathing in infants and children include all of the following except:
Correct Answer: D
Rationale: Nasal flaring, grunting, and seesaw breathing are signs of respiratory distress in infants and children. Quivering lips are not a recognized indicator of impaired breathing. Physiological Adaptation
Question 2 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.
Question 3 of 5
A client with retinal detachment of the right eye has a scleral buckling with instillation of silicone oil. Post-operatively the client should be positioned:
Correct Answer: D
Rationale: Following a scleral buckling with instillation of silicone oil or gas, the client should be positioned prone with the head turned so that the operative eye is facing upward. Answers A, B, and C would displace the oil and prevent it from enhancing a seal between the retina and choroid.
Question 4 of 5
An adult is admitted to the psychiatric unit with a severe phobia. She develops severe anxiety when she crosses any type of bridge. She can no longer go to work or go shopping at the mall. The day after admission, she develops a panic attack and refuses to go to occupational therapy because she has to cross a bridge-like structure to go from one area of the hospital to another. How should the nurse respond to this situation?
Correct Answer: C
Rationale: Using an alternate route avoids triggering the phobia, allowing participation in therapy while respecting her current anxiety level.
Extract:
Following Nitroglycerin patch application
Question 5 of 5
An expected outcome experienced by the client would be one of the following:
Correct Answer: B
Rationale: Nitroglycerin may cause reflex tachycardia as a compensatory response to vasodilation.