NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for clients on a medical/surgical unit and determines that several situations need to be addressed. Which of the following situations should the nurse attend to FIRST?
Correct Answer: D
Rationale: A nosebleed post-radiation therapy is the least stable situation, as it may indicate a serious complication like tissue damage or coagulopathy, requiring immediate assessment. The daughter’s threat (
A) is administrative, the overdue assistant (
B) is a personnel issue, and the physician’s request (
C) can be delegated, all of which are lower priority.
Extract:
While working on his motor bike, a 19-year-old sustains a puncture wound from a rusty metal. He presents himself to the ER of local hospital. The puncture wound is cleansed with hydrogen peroxide and a sterile dressing applied. The client confirmed that he is up-to-date with his tetanus immunization. Antibiotic was prescribed and administered and the client was sent home with instructions to return if there is any change in the wound area. Three days following the ER visit, the client is admitted to the hospital with a diagnosis of tetanus.
Question 2 of 5
Nursing care for client includes:
Correct Answer: A
Rationale: The slightest stimulation sets off a wave of very severe and painful muscle spasms involving the whole body. Admitting the client to a private room minimizes stimuli and reduces the risk of spasms.
Extract:
Question 3 of 5
The nurse is caring for a client with skin grafts covering third-degree burns on the arms and legs. During dressing changes, the nurse should be sure to:
Correct Answer: B
Rationale: Wrapping elastic bandages on dependent areas limits edema formation and bleeding and promotes graft acceptance. The nurse should wrap the client's arms and legs from the distal to proximal ends and use strict sterile technique throughout the dressing change. Applying maximum bandages should be avoided because bulky dressings limit mobility; instead, the nurse should use enough bandages to absorb wound drainage. Sterile gloves are required throughout all phases of the dressing change to prevent contamination.
Question 4 of 5
A client with Alzheimer's disease mumbles incoherently and rambles in a confused manner. To help redirect the client's attention, the nurse should encourage the client to:
Correct Answer: A
Rationale: Folding towels and pillowcases is a simple activity that redirects the client's attention. Also, because this activity is familiar, the client is likely to perform it successfully. Cards, charades, and aerobic exercise are too complicated for a confused client.
Extract:
Mr. Leon Gamett, 45-years-old, was admitted with pneumococcal pneumonia & Tuberculosis.
Question 5 of 5
Which of the following nursing action is appropriate?
Correct Answer: A
Rationale: Negative air pressure rooms prevent TB transmission, a priority intervention.