NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client with skin grafts covering third-degree burns on the arms and legs. During dressing changes, the nurse should be sure to:
Correct Answer: B
Rationale: Wrapping elastic bandages on dependent areas limits edema formation and bleeding and promotes graft acceptance. The nurse should wrap the client's arms and legs from the distal to proximal ends and use strict sterile technique throughout the dressing change. Applying maximum bandages should be avoided because bulky dressings limit mobility; instead, the nurse should use enough bandages to absorb wound drainage. Sterile gloves are required throughout all phases of the dressing change to prevent contamination.
Question 2 of 5
The provider orders Lanoxin (digoxin) 0.125 mg PO and furosemide 40 mg every day. Which of these foods would the nurse reinforce for the client to eat at least daily?
Correct Answer: B
Rationale: Watermelon is high in potassium and will replace potassium lost by the diuretic. The other foods are not high in potassium.
Question 3 of 5
A 6-week-old infant is admitted with suspected pyloric stenosis. Which finding is characteristic of the infant with pyloric stenosis?
Correct Answer: B
Rationale: Pyloric stenosis presents with a palpable, olive-shaped mass in the epigastrium due to pyloric muscle hypertrophy. Colicky pain is nonspecific, currant jelly stools suggest intussusception, and grain intolerance indicates celiac disease.
Question 4 of 5
The nurse is assessing a client with a suspected myocardial infarction. Which of the following findings would be MOST concerning to the nurse?
Correct Answer: D
Rationale: New-onset ventricular arrhythmias are life-threatening in myocardial infarction, indicating myocardial irritability and risk of sudden cardiac death, requiring immediate intervention. Chest pain relieved by rest (
A), mild hypertension (
B), and tachycardia (
C) are less urgent.
Question 5 of 5
A nurse is assessing an elderly patient for signs of dehydration. Which of the following findings is most indicative of dehydration?
Correct Answer: A
Rationale: Dry mucous membranes are a classic sign of dehydration, reflecting fluid loss. Increased urine output, hypertension, and weight gain suggest fluid overload or other conditions, not dehydration.