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.
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
To obtain data for the nursing assessment, the nurse should:
Correct Answer: D
Rationale: The nurse's understanding of the client rests on the comprehensiveness of assessment data obtained by listening to the client's self revelation.
Extract:
A patient with rheumatoid arthritis complains to the nurse about her back pain and said, 'I want a bed that is similar to what I have at home.'
Question 4 of 5
What would be an appropriate nursing response?
Correct Answer: D
Rationale: Assessment is the first step to be taken by the nurse. Asking the husband about the patient's home sleeping arrangements helps gather relevant information to address the patient's needs.
Extract:
Question 5 of 5
The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to?
Correct Answer: C
Rationale: The measurement and recording of vital signs may be delegated to UAP. This falls under the umbrella of routine task with stable clients. Other considerations for delegation of care to UAP would be: Who is capable and is the least expensive worker to do each task?