NCLEX Questions, NCLEX-PN Free Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Free Practice Questions Questions

Extract:

When monitoring a patient who is receiving a blood transfusion


Question 1 of 5

The nurse would analyze an elevated body temperature as indicating

Correct Answer: C

Rationale: Fever during transfusion may indicate a reaction, requiring immediate evaluation.

Extract:


Question 2 of 5

A child at school trips on a shoe lace and falls. Her ankle swells immediately, and the child is in a great deal of pain. What is the best initial action for the nurse to take?

Correct Answer: C

Rationale: Elevation and ice reduce swelling and pain in acute ankle injuries, following RICE (rest, ice, compression, elevation) principles.

Question 3 of 5

A 16 year-old boy is admitted for Ewing's sarcoma of the tibia. In discussing his care with the parents, the nurse understands that the initial treatment most often includes

Correct Answer: D

Rationale: radiation and chemotherapy. The initial treatment of choice for Ewing's sarcoma is a combination of radiation and chemotherapy.

Question 4 of 5

A nurse is caring for a 37-year-old woman with metastatic ovarian cancer admitted for nausea and vomiting. The physician orders total parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of the following is the BEST indication that the patient's nutritional status has improved after 4 days?

Correct Answer: C

Rationale: Albumin levels are the best indicator of long-term nutritional status, reflecting protein stores. A level of 4.0 mg/dL (normal range 3.5–5.0 g/dL) suggests improved nutrition after TPN. Eating more (
A) is subjective, weight gain (
B) may reflect fluid retention, and low hemoglobin (
D) is unrelated to nutrition and more likely due to cancer or chemotherapy.

Extract:

The physician orders a paracentesis for a patient with ascites.


Question 5 of 5

Before the procedure, the nurse should instruct the patient to:

Correct Answer: A

Rationale: Emptying the bladder prevents injury during paracentesis needle insertion.

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