NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of chronic venous insufficiency. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: Leg elevation reduces venous pooling and edema in chronic venous insufficiency, improving circulation. Warm compresses (
A) are inappropriate, diuretics (
C) are not first-line, and restricting ambulation (
D) worsens stasis.
Question 2 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?
Question 3 of 5
The nurse is caring for a client with a chest tube connected to a water-seal drainage system. The nurse observes continuous bubbling in the water-seal chamber. The nurse should
Correct Answer: A
Rationale: Continuous bubbling in the water-seal chamber indicates an air leak in the system (e.g., loose connections or lung leak), requiring assessment to locate and correct it. Increasing suction (
B) won’t fix the leak, clamping (
C) is dangerous, and notifying the physician (
D) follows assessment.
Question 4 of 5
A 23 year-old single client is in the 33rd week of her first pregnancy. She tells the nurse that she has everything ready for the baby and has made plans for the first weeks together at home. Which normal emotional reaction does the nurse recognize?
Correct Answer: C
Rationale: Anticipation of the birth. Directing activities toward preparation for the newborn's needs and personal adjustment are indicators of appropriate emotional response in the third trimester.
Question 5 of 5
Which of the following observations is most important when assessing a client's breathing?
Correct Answer: C
Rationale: Ensuring the presence and adequacy of breathing is critical to assess effective oxygenation. Pulse rate and position are secondary considerations. Physiological Adaptation