NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

The nurse is caring for an 80-year-old client with Parkinson's disease. Which of the following nursing goals is MOST realistic and appropriate in planning care for this client?

Correct Answer: B

Rationale: Parkinson’s disease is progressive and irreversible, so maintaining optimal function within the client’s limitations (e.g., mobility, self-care) is realistic. Returning to usual activities (
A) or arresting progression (
D) is unrealistic, and preparing for death (
C) is premature unless terminal.

Extract:

When assessing an individual with a spontaneous pneumothorax, there is a danger of mediastinal shift.


Question 2 of 5

Mediastinal shift is described as:

Correct Answer: A

Rationale: Mediastinal shift involves tracheal deviation to the unaffected side due to pressure imbalance.

Extract:


Question 3 of 5

A patient with schizophrenia is prescribed risperidone (Risperdal). Which of the following side effects should the nurse monitor for?

Correct Answer: C

Rationale: Risperidone, an antipsychotic, commonly causes extrapyramidal symptoms (e.g., tremors, rigidity), requiring monitoring. Weight gain, not loss, is typical, and hyperactivity or insomnia are less common.

Question 4 of 5

The nurse is preparing a five-year-old child for surgery. The nurse notes that the child's parents are divorced and have joint legal custody. The informed consent for surgery has been signed by the mother. Which of the following actions by the nurse is BEST?

Correct Answer: D

Rationale: Consent from either parent with joint legal custody is sufficient for surgical procedures. Since the mother has provided informed consent, no further action is needed, and the nurse should continue preoperative preparation. Notifying the physician or surgery, or contacting the father, is unnecessary.

Extract:

When teaching an athletic teenage patient about nutritional intake, the nurse should explain that the carbohydrate food that would provide the quickest source of energy is:


Question 5 of 5

When teaching an athletic teenage patient about nutritional intake, the nurse should explain that the carbohydrate food that would provide the quickest source of energy is:

Correct Answer: D

Rationale: Orange juice provides simple sugars for rapid energy absorption.

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