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
One aspect of implementation related to drug therapy is:
Correct Answer: B
Rationale: Although documentation isn't a step in the nursing process, the nurse is legally required to document activities related to drug therapy, including the time of administration, the quantity, and the client's reaction. Developing a content outline, establishing outcome criteria, and setting realistic client goals are parts of planning rather than implementation.
Extract:
After delivery, a mother tells the nurse, 'I'm so cold and I can't stop shaking.'
Question 3 of 5
The nurse should tell the mother:
Correct Answer: D
Rationale: Postpartum chills are common, and warm blankets provide comfort and help resolve the shaking.
Extract:
A child with a croup has difficulty of breathing.
Question 4 of 5
One of the following interventions, if performed by the nurse should be a priority and most important for the patient:
Correct Answer: A
Rationale: Oxygen administration is the priority to address respiratory distress in croup, ensuring adequate oxygenation.
Extract:
Besides acute glomerulonephritis, a sequela of Streptococcus infection would be:
Question 5 of 5
Nephritic syndrome
Correct Answer: C
Rationale: Rheumatic fever is an inflammatory disease involving the joints, heart, CNS, and subcutaneous tissue, believed to be an autoimmune process triggered by Streptococcus infection.