NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Mr. Smith is 67-year-old black male brought to the hospital by his wife, who stated that he fell down 20 minutes ago and has been unable to speak or move his right side since then. Mr. Smith has no significant past medical history. On exam, Mr. Smith is conscious, very anxious, his speech is garbed and unintelligible, he has a left facial droop, and he is completely right hemiphlegic.
Question 1 of 5
The most likely etiology for his symptoms is:
Correct Answer: A
Rationale: Mr. Smith has all the classic symptoms of a stroke or cerebrovascular accident (CV
A). Although he had a fall, traumatic brain injury is less likely given he maintained consciousness.
Extract:
On admission, the nurse gave the client a dose of epinephrine.
Question 2 of 5
The client is having typical side effects from epinephrine when the nurse observes that he is:
Correct Answer: C
Rationale: Increased blood pressure and tachycardia are typical effects of epinephrine due to its sympathomimetic action.
Extract:
Question 3 of 5
The nurse is caring for an adult who is being admitted to the unit for detoxification from alcohol. Which comment is the client most likely to make at this time?
Correct Answer: B
Rationale: Denial is common in early alcohol detoxification, with clients often minimizing their problem or attributing treatment to external pressures.
Question 4 of 5
Oxygen has been ordered for a client who was admitted to the hospital with congestive heart failure. Which assessment finding indicates that the oxygen has been effective?
Correct Answer: B
Rationale: A decreased respiratory rate indicates improved oxygenation, alleviating respiratory distress in congestive heart failure.
Question 5 of 5
Which of the following observations is most important when assessing a client's breathing?
Correct Answer: C
Rationale: Ensuring the presence and adequacy of breathing is critical to assess effective oxygenation. Pulse rate and position are secondary considerations. Physiological Adaptation