NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Stephen is a 58-year-old male patient who has a long history of alcoholism. He develops Laennec's cirrhosis, has ascites, jaundice and is confused.
Question 1 of 5
The nursing priority for Stephen is to
Correct Answer: A
Rationale: Confusion indicates hepatic encephalopathy, making safety measures the priority to prevent injury.
Extract:
Question 2 of 5
The client is admitted to the hospital with a hypertensive crisis. Diazoxide (Hyperstat) is ordered. During administration the nurse should:
Correct Answer: B
Rationale: Hyperstat is given IV push for hypertensive crisis. It often causes hyperglycemia. The glucose level will drop rapidly after the medication is administered. Answer A is incorrect because this medication is given IV push. The client should be placed in dorsal recumbent position, not Trendelenburg, so answer C is incorrect. Answer D is incorrect because the medication is ordered IV push.
Question 3 of 5
An adult is receiving external radiation therapy. What should the nurse include in the teaching plan about care of the skin at the radiation site?
Correct Answer: D
Rationale: Avoiding washing the radiated skin prevents irritation and damage to the sensitive area. Dressings, showers, or ice may exacerbate skin breakdown.
Question 4 of 5
A woman at 38-weeks gestation comes to the emergency room with complaints of vaginal bleeding. Which of the following statements, if made by the client, would suggest to the nurse placenta previa as the cause of the bleeding?
Correct Answer: A
Rationale: Placenta previa is characterized by painless vaginal bleeding, as the placenta covers the cervix, causing bleeding without contractions.
Choice A reflects this. Nausea (
B) is unrelated, activity-related bleeding (
C) suggests abruptio placentae, and cramps (
D) indicate labor or abruptio placentae.
Question 5 of 5
A child is sent to the school nurse by a teacher who has a written note that fifth disease is suspected. Which characteristic would the nurse expect to find?
Correct Answer: B
Rationale: Erythema on the face, primarily on cheeks giving a 'slapped face' appearance. This is a hallmark of fifth disease (erythema infectiosum).