NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
The nurse understands that Mr. Holland's ascites related to cirrhosis
Question 1 of 5
The nurse understands that Mr. Holland's ascites related to cirrhosis is most likely the result of:
Correct Answer: A
Rationale: Impaired portal venous return causes fluid accumulation in the peritoneal cavity, leading to ascites.
Extract:
Question 2 of 5
A nurse is caring for a client with peripheral arterial insufficiency of the lower extremities. Which intervention should be included in the plan of care to reduce leg pain?
Correct Answer: D
Rationale: Ischemic pain is relieved by placing feet in a dependent position. This position improves peripheral perfusion.
Extract:
This is a 45-year-old patient who lost large amount of blood due to gunshot wound (GSW) on the thigh and abdomen. The patient develops hypotension while receiving transfusion.
Question 3 of 5
Which of the following other symptoms, if seen in this patient, would be most significant in terms of realizing that a potential complication is occurring?
Correct Answer: B
Rationale: Back pain in a blood transfusion reaction indicates kidney involvement, a significant complication requiring immediate attention.
Extract:
Question 4 of 5
A nurse is teaching a patient about the use of an incentive spirometer. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Inhaling slowly and deeply through the mouthpiece maximizes lung expansion and prevents atelectasis. Forceful exhalation is incorrect, use is routine (not symptom-based), and holding breath is optional but not primary.
Question 5 of 5
A geriatric client with Alzheimer's disease has been living with his grown child's family for the last 6 months. He wanders at night and needs help with activities of daily living. Which statement by his child suggests that the family is successfully adjusting to this living arrangement?
Correct Answer: D
Rationale: This statement demonstrates a realistic understanding of the client's disorder and effective family coping with the challenges it presents. Options 1 and 2 indicate that the family is having difficulty adjusting. Option 3 suggests that the family is in denial or has an unrealistic view of the prognosis for a client with Alzheimer's disease.