NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for an adult who had a total gastrectomy last week. Because of the type of surgery, the nurse should monitor the client carefully for which of the following? Select all that apply.
Correct Answer: A,C
Rationale: Gastrectomy removes intrinsic factor-producing cells, risking pernicious anemia, and rapid gastric emptying causes dumping syndrome. Ulcerative colitis, stress ulcers, hiatal hernia, and thrombophlebitis are not directly related to gastrectomy.
Extract:
Kussmaul breathing:
Question 2 of 5
Kussmaul breathing:
Correct Answer: D
Rationale: Kussmaul breathing is a rapid, deep pattern compensating for metabolic acidosis.
Extract:
Question 3 of 5
The family of a young adult who has been declared brain dead following an auto accident is approached by the physician about organ donation. Later they ask the nurse, 'If we donate the organs, can we still have a viewing and a regular funeral?' How should the nurse respond?
Correct Answer: A
Rationale: Organ donation surgery is performed carefully to preserve the body's appearance, allowing open-casket viewing and normal funeral proceedings, independent of accident injuries or clergy views.
Question 4 of 5
The nurse is discussing hemophilia with a group of parents. Which child is most likely to have classic hemophilia?
Correct Answer: A
Rationale: Classic hemophilia (
A) is X-linked recessive; males whose mothers are carriers have a 50% chance of inheriting it, as males inherit the X chromosome from their mother.
Question 5 of 5
A 3 year-old child comes to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, skin hot to touch, sits leaning forward, tongue protruding, drooling and suprasternal retractions. What should the nurse do first?
Correct Answer: D
Rationale: These findings suggest a medical emergency and may be due to epiglottitis. Any child with an acute onset of an inflammatory response in the mouth and throat should receive immediate attention in a facility equipped to perform intubation or a tracheostomy in the event of further or complete obstruction.