NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The physician orders phenytoin (Dilantin) and phenobarbital for a client admitted with a cerebrovascular accident. The nurse knows that these drugs are administered for what purpose?
Correct Answer: A
Rationale: Phenytoin and phenobarbital are anticonvulsants used to prevent seizures, a common complication post-cerebrovascular accident. They do not promote sleep, prevent clots, or stop bleeding.
Question 2 of 5
Which finding, if present, should the nurse interpret to mean that dialysis has achieved the desired results?
Correct Answer: B
Rationale: A drop in blood pressure indicates successful fluid removal during dialysis, a primary goal. Weight gain, urine output, or normal glucose are not direct indicators of dialysis efficacy.
Question 3 of 5
A nurse is screening patients for various vaccines. Which of the following vaccines is contraindicated during pregnancy?
Correct Answer: C
Rationale: Mumps and Rubella are contraindicated during pregnancy.
Question 4 of 5
A client is admitted to the health care facility with bowel obstruction secondary to colon cancer. The nurse obtains a health history, measures vital signs, and auscultates for bowel sounds. Which step of the nursing process is the nurse performing?
Correct Answer: B
Rationale: During the data collection step of the nursing process, the nurse obtains the client's health history, measures vital signs, and performs a physical examination to gather data for use in formulating the nursing diagnoses. During the planning step, the nurse designs methods to help resolve client problems and meet client needs. During evaluation, the nurse determines the effectiveness of nursing interventions in achieving client goals. During implementation, the nurse takes actions to meet the client's needs.
Extract:
A patient is suspected of having thrombophlebitis of the left lower extremity.
Question 5 of 5
During the initial assessment the nurse should specifically observe the patient for:
Correct Answer: A
Rationale: Edema is a hallmark sign of thrombophlebitis due to venous obstruction.