NCLEX Questions, NCLEX PN Test Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

NCLEX PN Test Questions Questions

Extract:


Question 1 of 5

The nurse is caring for a client receiving peritoneal dialysis. Which findings are essential for the nurse to report to the health care provider?

Correct Answer: A,B,E

Rationale: Cloudy outflow (
A), fever (
B), and tachycardia (E) suggest peritonitis, requiring immediate reporting. Oliguria (
C) is expected in renal failure, and pruritus (
D) is less urgent.

Question 2 of 5

The nurse has a client with knee surgery who is receiving patient-controlled analgesia (PCA) of meperidine (Demerol). Which assessment finding would be a priority due to the use of this device and medication?

Correct Answer: C

Rationale: The patient is in danger of respiratory depression due to narcotic administration; therefore, this would be a priority assessment. Answer A does not relate to the PCA, so it is incorrect. Answer B is not a priority, making it wrong. Pain relief in answer D is important, but not as important as airway, so it is incorrect.

Question 3 of 5

A client with insulin-dependent diabetes takes 20 units NPH insulin at 7 a.m. The nurse should observe the client for signs of hypoglycemia at:

Correct Answer: C

Rationale: NPH insulin peaks 6-12 hours after administration (1-3 p.m.), making 3 p.m. the time to watch for hypoglycemia. Other times are outside the peak window.

Question 4 of 5

A client complains of some discomfort after a below the knee amputation. Which action by the nurse is most appropriate initially?

Correct Answer: B

Rationale: Ensure that the stump is elevated the first day post-op. This priority intervention prevents pressure caused by pooling of blood, thus minimizing the pain. Without this measure, a firm elastic bandage, opioid narcotics, or guided imagery will have little effect. Opioid narcotics are given for severe pain.

Question 5 of 5

The nurse receives the handoff of care report on four clients. Which client should the nurse see first?

Correct Answer: D

Rationale: Restlessness in a pneumonia client with low SpO2 (
D) suggests worsening hypoxia, requiring immediate assessment. Severe pain (
A) is urgent but stable. Pleural effusion (
B) and fever (
C) are less critical.

Similar Questions

Access More Questions!

NCLEX PN Basic


$89/ 30 days

 

NCLEX PN Premium


$150/ 90 days