NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
The nurse assesses a patient's IV site and finds that it is red, hot, and tender to touch.
Question 1 of 5
The most appropriate first action is:
Correct Answer: A
Rationale: Signs of phlebitis or infection require stopping the infusion and removing the IV to prevent complications.
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 2 of 5
The nurse appropriately removes obstruction in the chest tube by which of the following?
Correct Answer: B
Rationale: Milking gently dislodges clots without causing excessive negative pressure.
Extract:
Question 3 of 5
A client is scheduled for surgery under general anesthesia. The night before surgery, the client tells the nurse, 'I can't wait to have breakfast tomorrow.' Based on this statement, the nurse should formulate which nursing diagnosis?
Correct Answer: A
Rationale: The client's statement reveals a Deficient knowledge related to food restrictions associated with general anesthesia. The other options may be applicable but aren't related to the client's statement.
Question 4 of 5
A nurse is caring for a patient with alcohol use disorder who is experiencing withdrawal symptoms. Which of the following medications should the nurse anticipate administering?
Correct Answer: A
Rationale: Lorazepam, a benzodiazepine, is used to manage alcohol withdrawal symptoms, preventing seizures and delirium. Haloperidol, fluoxetine, and lithium treat unrelated conditions.
Question 5 of 5
A 17-year-old client is admitted following a seizure. That evening, the nurse goes into the room and notes that the client has obviously been crying. The client says, 'Now that I have epilepsy, I am a freak.' What is the best initial response for the nurse to make?
Correct Answer: A
Rationale: Acknowledging the client's feelings validates their emotional distress, fostering therapeutic communication. Reassurance or minimization dismisses their concerns, hindering rapport.