NCLEX-PN
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:
Antoinette is 47-year-old woman with history of hypertension presented to ER with complain of sudden pain in her heel. Her lifestyle is sedentary and denies history of trauma or rigorous physical exertion. On admission assessment, spontaneous rupture of the Achilles tendon was diagnosed and treatment was initiated. Few weeks following her ER visit, Antoinette sought the help of a family physician for prescription of pain medication. Her physical assessment showed central obesity, thin musculature, and abdominal striae. Cushing's syndrome was suspected. Further endocrine assessment showed clinical features typical of Cushing's syndrome, which had been present for at least four years.
Question 2 of 5
The PN who performs the admission assessment on Antoinette would expect to observe which of the following?
Correct Answer: A
Rationale: Excessive hair growth in the woman's face and extremities is caused by excessive glucocorticoid hormones, a hallmark of Cushing's syndrome.
Extract:
When giving health and safety hazards on a mother with a 3-month-old infant, the nurse should emphasize that
Question 3 of 5
tiny objects must be removed from crib.
Correct Answer: A
Rationale: By 4 months of age, infants pick up anything within reach and put it in their mouth, making tiny objects in the crib a choking hazard.
Extract:
Physical findings commonly seen in hypothyroidism include:
Question 4 of 5
Physical findings commonly seen in hypothyroidism include:
Correct Answer: A
Rationale: Coarse hair and brittle nails are typical in hypothyroidism due to slowed metabolism.
Extract:
Question 5 of 5
A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?
Correct Answer: B
Rationale: Morphine sulfate, a narcotic analgesic, causes central nervous system (CNS) and respiratory depression. In patients with head injuries, it is contraindicated because it masks signs of increased intracranial pressure (ICP), such as changes in level of consciousness, which are critical for monitoring neurological status. Promethazine is an antiemetic, docusate is a stool softener, and ranitidine prevents stress ulcers, none of which pose the same risk in this context.