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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free NCLEX-PN Practice Questions Questions

Extract:


Question 1 of 5

The nurse is caring for a postcholecystectomy client who had the T-tube removed this AM. Two hours after removal of the T-tube, the nurse notes that the 4x4 dressing covering the stab site is saturated with dark, greenish-yellow drainage. It is MOST appropriate for the nurse to take which of the following actions?

Correct Answer: A

Rationale: Dark, greenish-yellow drainage is expected bile post-T-tube removal, and a saturated dressing indicates ongoing drainage until the wound seals. Replacing with a more absorbent dressing keeps the site clean and dry, preventing infection. Culturing (
B) is unnecessary without infection signs, dehiscence (
C) is unlikely, and reinforcing (
D) risks infection.

Extract:

Pulsus Paradoxus is best described as


Question 2 of 5

Pulsus Paradoxus is best described as

Correct Answer: B

Rationale: Pulsus paradoxus is an exaggerated drop in systolic BP during inspiration.

Extract:


Question 3 of 5

An adult is being evaluated for a possible pituitary tumor. What test(s) does the nurse expect may be ordered for this client to confirm the diagnosis? Select all that apply.

Correct Answer: C,F

Rationale: MRI visualizes pituitary tumors, and visual field tests assess optic nerve compression from tumor growth. Urine, coagulation, x-rays, or nerve studies are less specific for diagnosis.

Question 4 of 5

A client scheduled for a fluorescein angiography is to have mydriatic eye drops instilled in both eyes 1 hour prior to the test. The nurse knows that the purpose of the medication is:

Correct Answer: B

Rationale: Mydriatic drops dilate pupils, allowing better visualization of the retina during fluorescein angiography.

Question 5 of 5

A client with sickle cell disease is admitted with a diagnosis of pneumonia. Which nursing intervention would be most helpful to prevent a vasocclusive crisis?

Correct Answer: D

Rationale: Hydration is needed to prevent slowing of blood flow and occlusion. It is important to perform the assessments in answers A, B, and C, but D is the best intervention for the prevention of the crisis.

Similar Questions

Access More Questions!

NCLEX PN Basic


$89/ 30 days

 

NCLEX PN Premium


$150/ 90 days