NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to boost a client up in bed. She instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?
Correct Answer: D
Rationale: Using a trapeze reduces shearing forces (opposing forces that cause layers of skin to move over each other, stretching and tearing capillaries and, eventually, resulting in necrosis), which increase the risk of pressure ulcer development. They can occur as clients slide down in bed or when they're pulled up in bed.
To reduce shearing forces, the nurse should instruct the client to use an overbed trapeze, place a draw sheet under the client to move the client up in bed, and keep the head of the bed no higher than 30 degrees. The risks of friction, impaired circulation, and localized pressure aren't decreased with trapeze use.
Extract:
The patient in anaphylactic shock is treated with emergency drugs.
Question 2 of 5
Which medications are usually given?
Correct Answer: C
Rationale: Epinephrine reverses bronchoconstriction, and Benadryl reduces histamine-mediated symptoms.
Extract:
Question 3 of 5
A nurse is caring for a patient with acute pancreatitis. Which of the following interventions should the nurse implement first?
Correct Answer: A
Rationale: Pain management is the priority in acute pancreatitis to reduce patient distress and pancreatic stimulation. NG tubes, fluids, and ambulation follow based on orders and condition.
Question 4 of 5
A 65-year-old female client is experiencing postmenopausal bleeding. Which type of physician should this client be encouraged to see?
Correct Answer: B
Rationale: A gynecologist specializes in female reproductive health and is best suited to evaluate postmenopausal bleeding, which may indicate serious conditions like endometrial cancer. Coordinated Care
Question 5 of 5
A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). Which of the following interventions should the nurse include in the plan of care? (Select all that apply)
Correct Answer: A,C,D
Rationale: Pursed-lip breathing improves oxygenation, high-calorie/protein diets support nutrition, and smoking cessation prevents progression. High oxygen risks CO2 retention, and excessive fluids are not standard.