NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
The client with COPD has orthopnea.
Question 1 of 5
The nurse is aware that one of the following is a correct description of orthopnea:
Correct Answer: D
Rationale: Orthopnea is eased by sitting upright, reducing lung compression.
Extract:
A patient with cystic fibrosis has an order of aerosol treatment and physiotherapy.
Question 2 of 5
How will you carry out this order?
Correct Answer: B
Rationale: Aerosol treatment loosens secretions, followed by physiotherapy to clear them.
Extract:
Question 3 of 5
A client is scheduled for an excretory urography at 10 a.m. An order states to insert a saline lock I.V. device at 9:30 a.m.. The client requests a local anesthetic for the I.V. procedure and the physician orders lidocaine-prilocaine cream (EMLA cream). The nurse should apply the cream at:
Correct Answer: A
Rationale: It takes up to 2 hours for lidocaine-prilocaine cream (EMLA cream) to reach its maximum effectiveness.
Therefore, if the cannulation is scheduled for 9:30 a.m., EMLA cream should be applied at 7:30 a.m. Applying EMLA at 6:30 a.m. is too early. The other time options are too late for the local anesthetic to be effective.
Question 4 of 5
A woman has been recently diagnosed with systemic lupus and shares with the nurse, 'I am thinking about getting pregnant, but I don't know how I will be able to tolerate a pregnancy since I have lupus.' Which of the following responses by the nurse is BEST?
Correct Answer: B
Rationale: Systemic lupus erythematosus (SLE) increases maternal morbidity and mortality during pregnancy, and active disease can exacerbate complications. Pregnancy is safest when SLE is in remission for at least 5–6 months prior to conception. Asking about remission status assesses the client’s disease activity, which is critical for planning a safe pregnancy.
Choice A is inaccurate, as SLE symptoms may worsen; choice C is false, as gestation length is unaffected; and choice D is incorrect, as conception is recommended after 2 years of stable disease.
Question 5 of 5
A client with newly diagnosed breast cancer asks the nurse, 'Why me? I've always been a good person. What have I done to deserve this?' Which response by the nurse would be most therapeutic?
Correct Answer: D
Rationale: Listening, responding quickly, and providing support promote therapeutic communication. Offering to talk about the client's feelings validates those feelings and allows the client to express them. Options 1 and 2 ignore the client's feelings. Option 3 identifies the client's feelings but doesn't follow through by exploring them.