NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
A child sustains a fractured femur in a bicycle accident. However, the admission x-ray films reveal evidence of fractures of other long bones in various stages of healing.
Question 1 of 5
The nurse determines that this child should be assessed for:
Correct Answer: A
Rationale: Multiple fractures in various healing stages suggest non-accidental trauma, indicating child abuse.
Extract:
The patient in anaphylactic shock is treated with emergency drugs.
Question 2 of 5
Which medications are usually given?
Correct Answer: C
Rationale: Epinephrine reverses bronchoconstriction, and Benadryl reduces histamine-mediated symptoms.
Extract:
Question 3 of 5
A nurse is caring for a patient with acute pancreatitis. Which of the following interventions should the nurse implement first?
Correct Answer: A
Rationale: Pain management is the priority in acute pancreatitis to reduce patient distress and pancreatic stimulation. NG tubes, fluids, and ambulation follow based on orders and condition.
Question 4 of 5
The nurse is preparing to boost a client up in bed. She instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?
Correct Answer: D
Rationale: Using a trapeze reduces shearing forces (opposing forces that cause layers of skin to move over each other, stretching and tearing capillaries and, eventually, resulting in necrosis), which increase the risk of pressure ulcer development. They can occur as clients slide down in bed or when they're pulled up in bed.
To reduce shearing forces, the nurse should instruct the client to use an overbed trapeze, place a draw sheet under the client to move the client up in bed, and keep the head of the bed no higher than 30 degrees. The risks of friction, impaired circulation, and localized pressure aren't decreased with trapeze use.
Extract:
A 25-year-old young male comes into the ER following a motorbike accident. Upon obtaining a recent history, the patient states he fell in the ground and hit his head on the pavement. He reports that he was unconscious for 15 seconds and then confused for several minutes.
Question 5 of 5
What is the first diagnostic test to perform on this patient?
Correct Answer: C
Rationale: A CT scan must be performed as soon as possible to rule out a cerebral hemorrhage. Blurred vision and loss of consciousness may indicate a severe brain injury.