NCLEX-PN
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.