NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client after a motor vehicle accident. The client has a fractured tibia, and bone is noted protruding through the skin. Which action is of priority?
Correct Answer: B
Rationale: The client has an open fracture. The priority would be to cover the wound and prevent further contamination. Manual traction should not be attempted, so answer A is incorrect. Swelling usually occurs with a fracture, making answer C an incorrect option. Changing the client to the prone position would cause excessive movement and is inappropriate, so Answer D is incorrect.
Extract:
A client with tuberculosis has been receiving INH as part of the chemotherapeutic therapy protocol.
Question 2 of 5
During a subsequent clinic visit the nurse should recognize that prompt intervention is required when the client develops
Correct Answer: A
Rationale: Yellow sclera indicates jaundice, a sign of INH-induced hepatotoxicity requiring immediate intervention.
Extract:
Question 3 of 5
Which detail of a client's drug therapy is the nurse legally responsible for documenting?
Correct Answer: D
Rationale: The nurse legally must document the client's reaction to the drug in addition to the time the drug was administered and the dosage given. The nurse isn't legally responsible for documenting the peak concentration time of the drug, safe drug ranges, or the client's socioeconomic data.
Question 4 of 5
The nurse is assessing a client with a suspected myocardial infarction. Which of the following findings would be MOST concerning to the nurse?
Correct Answer: D
Rationale: New-onset ventricular arrhythmias are life-threatening in myocardial infarction, indicating myocardial irritability and risk of sudden cardiac death, requiring immediate intervention. Chest pain relieved by rest (
A), mild hypertension (
B), and tachycardia (
C) are less urgent.
Question 5 of 5
The nurse is caring for a client with bleeding from esophageal varices. The factor that most likely contributed to the development of esophageal varices is:
Correct Answer: C
Rationale: Heavy alcohol consumption causes portal hypertension, leading to esophageal varices. Hydrocarbons , obesity , and vegetarianism are not direct causes.