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

Questions 227

NCLEX-PN

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NCLEX-PN Free Practice Questions Questions

Extract:


Question 1 of 5

The nurse is caring for an 11-year-old patient being treated for a fractured right femur with balanced suspension traction with a Thomas splint and Pearson attachment. The nurse notes that the patient's left leg is externally rotated. The nurse should

Correct Answer: A

Rationale: A trochanter roll placed on the outer aspect of the thigh holds the hip in a neutral position and prevents external rotation, maintaining proper leg alignment. Resistive exercises or active movement (choices B and
C) do not address alignment, and instructing the patient (choice
D) is ineffective without physical support.

Question 2 of 5

The nurse is teaching a client with a new ileostomy about stoma care. Which of the following statements by the client indicates understanding?

Correct Answer: A

Rationale: Cleaning the peristomal skin with mild soap and water prevents irritation and maintains skin integrity. Daily pouch changes (
B) are unnecessary (typically every 3–7 days), adhesive removers (
C) are for pouch removal, and bleeding (
D) is abnormal and requires evaluation.

Extract:

Mr. Holland is a 55-year-old male patient who has a long history of ETOH abuse. He presently undergoes evaluation tests for suspected liver cirrhosis.


Question 3 of 5

The nurse understands that a liver biopsy may be contraindicated in certain situations. Therefore, it is important for the nurse to assess the patient for:

Correct Answer: C

Rationale: Prolonged prothrombin time indicates bleeding risk, a contraindication for liver biopsy.

Extract:

Ms. Wilson has undergone total thyroidectomy.


Question 4 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.

Extract:

Nitroglycerin SL is prescribed for anginal pain.


Question 5 of 5

When teaching how to use nitroglycerin, the nurse tells the client to place 1 tablet under the tongue when pain occurs and to repeat the dose in 5 minutes if pain persists. The nurse should also tell the client to

Correct Answer: D

Rationale: Anginal pain, which can be anticipated during certain activities, may be prevented by dilating the coronary arteries immediately before engaging in activity, and an additional tablet post-attack can prevent recurrence.

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