NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
At the well-baby clinic, the nurse follows certain sequence of the baby's assessment
Question 1 of 5
The nurse follows certain sequence of the baby's assessment that includes:
Correct Answer: D
Rationale: Assessing temperature first avoids influencing it, followed by weight, respiratory rate, and heart rate for a comprehensive evaluation.
Extract:
Francis went into diabetic coma.
Question 2 of 5
The nurse may observe which one as typical manifestation(s) of ketoacidosis:
Correct Answer: B
Rationale: Deep, rapid respirations are the body's effort to get rid of excess acid through breathing, a hallmark of ketoacidosis.
Extract:
A patient's chart indicates a history of hyperkalemia.
Question 3 of 5
Which of the following would you not expect to see with this patient if these conditions were acute?
Correct Answer: D
Rationale: Migraines are not typically associated with acute hyperkalemia, unlike the other symptoms.
Extract:
Question 4 of 5
The nurse is assessing a 78-year-old woman. The woman says she has some bladder discomfort and urinary frequency. She also says, 'I mind the cold so, but I don't seem to shiver. I don't have much energy these days.' Her temperature is 98.9°F, pulse is 76, respirations are 20, and blood pressure is 140/88. Which findings are of most concern to the nurse and need to be further evaluated?
Correct Answer: C
Rationale: Bladder discomfort, frequency, and fatigue may indicate a urinary tract infection or other systemic issue, requiring evaluation. Vital signs are normal, and shivering/cold sensitivity is less urgent.
Question 5 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.