NCLEX Questions, NCLEX-PN Free Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Free Practice Questions Questions

Extract:


Question 1 of 5

The nurse is caring for a client who had a total hip replacement 4 days ago. Which assessment requires the nurse's immediate attention?

Correct Answer: B

Rationale: I just can't 'catch my breath' over the past few minutes and I think I am in grave danger.' Sudden onset of shortness of breath in a post-operative client, especially after a total hip replacement, may indicate a pulmonary embolism or other serious respiratory complication, requiring immediate assessment and intervention.

Question 2 of 5

A 17-year-old client is admitted following a seizure. That evening, the nurse goes into the room and notes that the client has obviously been crying. The client says, 'Now that I have epilepsy, I am a freak.' What is the best initial response for the nurse to make?

Correct Answer: A

Rationale: Acknowledging the client's feelings validates their emotional distress, fostering therapeutic communication. Reassurance or minimization dismisses their concerns, hindering rapport.

Extract:

A patient has an anaphylactic reaction within the 1st half hour after an IV infusion containing Ampicillin is started.


Question 3 of 5

The nurse understands that the symptoms occurring during an anaphylactic reaction are the result of:

Correct Answer: C

Rationale: Anaphylaxis causes bronchoconstriction and vasodilation, leading to respiratory distress and hypotension.

Extract:

After a patient has cataract surgery, the nurse should:


Question 4 of 5

After a patient has cataract surgery, the nurse should:

Correct Answer: D

Rationale: Avoiding vigorous activities like brushing prevents increased intraocular pressure post-cataract surgery.

Extract:

A 65-year-old man has been admitted to the hospital for spinal stenosis surgery.


Question 5 of 5

When does the discharge training and planning begin for this patient?

Correct Answer: B

Rationale: Discharge planning begins upon admission to ensure a comprehensive care plan.

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