NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a school-aged child with a diagnosis of secondary hyperparathyroidism following treatment for chronic renal disease. Which of the following lab data should receive priority attention?
Correct Answer: A
Rationale: Calcium and phosphorus levels will be elevated until the client is stabilized.
Question 2 of 5
The nurse observes a woman in the first stage of labor and encourages her to push before the cervix is fully dilated. The nurse's action could primarily lead to
Correct Answer: D
Rationale: The weight of the uterus can put pressure on the vena cava and aorta when a pregnant woman is flat on her back causing supine hypotension. Turning the woman to the side reduces this pressure and relieves postural hypotension.
Question 3 of 5
A client with moderate pregnancy-induced hypertension (PIH) is a poor candidate for regional anesthesia during labor and delivery. If she were to receive this form of anesthesia, she might experience:
Correct Answer: A
Rationale: In a client with PIH, uteroplacental perfusion may be inadequate and gas exchange may be poor. Regional anesthesia increases the risk of hypotension resulting from sympathetic blockade, possibly causing fetal and maternal hypoxia. Hypertension, seizures, and renal toxicity aren't associated with regional anesthesia.
Question 4 of 5
When teaching a client with coronary artery disease about nutrition, the nurse should emphasize
Correct Answer: C
Rationale: avoiding very heavy meals. Eating large, heavy meals can pull blood away from the heart for digestion, which is dangerous for the client with coronary artery disease.
Extract:
Ms. Wilson has undergone total thyroidectomy.
Question 5 of 5
Following surgery, the patient should be observed for signs and symptoms of thyroid storm. Which of the following is consistent with thyroid storm?
Correct Answer: A
Rationale: Tachycardia, such as a heart rate of 180 bpm, is one of the manifestations of thyroid storm, a life-threatening condition.