NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse collects data on a client shortly after kidney transplant surgery. Which postoperative finding must the nurse report to the physician immediately?
Correct Answer: D
Rationale: Because kidney transplantation carries the risk of transplant rejection, infection, and other serious complications, the nurse should monitor the client's urinary function closely. A decrease from the normal urine output of 30 ml/hour is significant and warrants immediate physician notification. The other options are normal data collection findings.
Question 2 of 5
A postpartum client requires teaching about breast-feeding. To prevent breast engorgement, the nurse should instruct her to:
Correct Answer: C
Rationale: Frequent breast-feeding empties the breasts and increases circulation, helping to remove fluid that may lead to engorgement. If the infant isn't ill or physically impaired and can breast-feed, the client shouldn't use an electric breast pump because this deprives the infant of optimal sucking and skin-to-skin contact with the mother. Applying warm, moist compresses stimulates the let-down reflex and causes the breasts to fill, which may lead to engorgement. A brassiere supports the breasts but doesn't prevent engorgement.
Question 3 of 5
A nurse is caring for a patient who refuses a blood transfusion due to religious beliefs. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Respecting the patient’s decision upholds autonomy and ethical practice. Administering or persuading against beliefs violates rights, and ignoring wishes dismisses patient-centered care.
Question 4 of 5
The nurse observes a certified nursing assistant (CNA) placing a hot water bottle directly on the skin of a 90-year-old client. What action should the nurse take initially?
Correct Answer: B
Rationale: Direct placement of a hot water bottle on the skin risks burns, especially in an elderly client with fragile skin. Interrupting the procedure immediately prevents harm. Reporting, discussing later, or notifying the physician are secondary to stopping the unsafe action.
Extract:
You are asked to see Mr. J, a 45-year-old male admitted to the medical floor. He has a temperature of 103°F, complains of urgency, frequency, and perineal pain. He states his urine is somewhat cloudy in appearance. Mr. K denies any trauma to the genital area. On physical assessment, Mr. J appears acutely ill, flank tenderness is negative to percussion, abdominal assessment is unrevealing. Rectal exam reveals a tender prostate.
Question 5 of 5
You anticipate all of the following to be ordered except:
Correct Answer: D
Rationale: The patient's symptoms are suggestive of prostatitis, likely infectious. PSA is not typically ordered in acute infection as it is more relevant for prostate cancer screening.