NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is teaching a client about erythema infectiosum. Which of the following factors are not correct?
Correct Answer: B
Rationale: Erythema infectiosum (Fifth disease) is common in adults, contrary to the statement. The other factors are correct: it typically presents with a 'slapped face' rash, no fever, and a characteristic rash. Safety and Infection Control
Question 2 of 5
A client with end-stage renal disease received a renal transplant 2 weeks ago. Which of the following is an early sign of rejection of the transplant?
Correct Answer: B
Rationale: Early signs of renal transplant rejection include tenderness over the graft site, fever, and decreased urine output due to impaired kidney function. Increased urinary output is not associated with rejection, and while hypertension may occur, it is not a specific early sign.
Question 3 of 5
Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia. Which finding signals a significant problem during this procedure?
Correct Answer: B
Rationale: An increased WBC count indicates infection, probably resulting from peritonitis, which may have been caused by insertion of the peritoneal catheter into the peritoneal cavity. Peritonitis can cause the peritoneal membrane to lose its ability to filter solutes; therefore, peritoneal dialysis would no longer be a treatment option for this client. Hyperglycemia occurs during peritoneal dialysis because of the high glucose content of the dialysate; it's readily treatable with sliding-scale insulin. A potassium level of 3.8 mEq/L is an acceptable value. An HCT of 35% is lower than normal. However, in this client, the value isn't abnormally low because of the daily blood samplings. A lower HCT is common in clients with chronic renal failure because of the lack of erythropoietin.
Extract:
On the third day post partum day, a mother asks why her newborn's skin has begun to appear yellow.
Question 4 of 5
The nurse should plan to teach her that the change in skin tone is a result of:
Correct Answer: C
Rationale: Physiologic jaundice results from the breakdown of excess red blood cells in newborns.
Extract:
A 28-year-old male with history of diabetes has been found wandering around in a confused pattern. The male is sweaty and pale.
Question 5 of 5
Which of the following tests is most likely to be performed first?
Correct Answer: A
Rationale: Confusion, sweating, and pallor in a diabetic suggest hypoglycemia, requiring immediate blood sugar testing.