NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for an adult who is being admitted to the unit for detoxification from alcohol. Which comment is the client most likely to make at this time?
Correct Answer: B
Rationale: Denial is common in early alcohol detoxification, with clients often minimizing their problem or attributing treatment to external pressures.
Question 2 of 5
A gravida 2 para 0 is admitted from the ER with spontaneous rupture of membranes. She states that she has seen the doctor only twice during the pregnancy and that she is unsure of her exact due date. Exam reveals the presence of green-tinged fluid in the vaginal vault. The fetus is noted to be in a LOP position with an FHR of 110 BPM. Based on the assessment, the nurse suspects:
Correct Answer: A
Rationale: Green-tinged fluid (meconium) and FHR of 110 BPM suggest fetal distress. Infection, post-maturity, or TE fistula are less likely without additional signs.
Question 3 of 5
A 6-week-old infant is admitted with suspected pyloric stenosis. Which finding is characteristic of the infant with pyloric stenosis?
Correct Answer: B
Rationale: Pyloric stenosis presents with a palpable, olive-shaped mass in the epigastrium due to pyloric muscle hypertrophy. Colicky pain is nonspecific, currant jelly stools suggest intussusception, and grain intolerance indicates celiac disease.
Question 4 of 5
A cooling blanket has been ordered for an adult who has a head injury and is running high fevers. The client starts shivering. What action is most appropriate for the LPN?
Correct Answer: B
Rationale: Shivering indicates the cooling blanket may be too cold, risking complications; reporting to the charge nurse ensures proper adjustment.
Question 5 of 5
A client with polysubstance abuse has been admitted to the hospital for detoxification. Which of the following drugs represents the most serious life-threatening situation during the withdrawal period?
Correct Answer: B
Rationale: Secobarbital, a barbiturate, poses the most serious risk during withdrawal, as it can lead to life-threatening seizures and delirium. Methadone and heroin withdrawal are uncomfortable but less likely to be fatal, and cocaine withdrawal is primarily psychological.