NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Thirty-minutes after the blood transfusion was started, the patient complains of urticaria in the chest, abdomen and both thighs.
Question 1 of 5
The PN will implement which nursing action as a priority?
Correct Answer: A
Rationale: Urticaria indicates a possible transfusion reaction, and the priority is to stop the infusion to prevent further complications.
Extract:
Question 2 of 5
The nurse is preparing to boost a client up in bed. She instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?
Correct Answer: D
Rationale: Using a trapeze reduces shearing forces (opposing forces that cause layers of skin to move over each other, stretching and tearing capillaries and, eventually, resulting in necrosis), which increase the risk of pressure ulcer development. They can occur as clients slide down in bed or when they're pulled up in bed.
To reduce shearing forces, the nurse should instruct the client to use an overbed trapeze, place a draw sheet under the client to move the client up in bed, and keep the head of the bed no higher than 30 degrees. The risks of friction, impaired circulation, and localized pressure aren't decreased with trapeze use.
Extract:
After paracentesis, the nurse is doing the best action when she
Question 3 of 5
takes patient's BP.
Correct Answer: D
Rationale: Monitoring vital signs post-paracentesis detects complications like hypotension or bleeding.
Extract:
A patient who suffered burns 48 hours ago is entering the second phase of burn injury.
Question 4 of 5
What physiologic changes can you expect?
Correct Answer: D
Rationale: The second phase involves an inflammatory response, increasing WBC to fight infection.
Extract:
Leno, 35-year-old of African descent, came to USA to visit his family. He was admitted in the hospital due to exacerbation of sickle cell.
Question 5 of 5
During the vaso-occlusive crisis, which of the following nursing interventions is a priority?
Correct Answer: A
Rationale: IV fluids, analgesia, and oxygen address hydration, pain, and oxygenation, which are critical during a vaso-occlusive crisis.