NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Ms. L had a C-section done. She delivered a healthy baby boy. On her 1st post operative day, Ms. L's roommate called the nurse & reports that Ms. L was very anxious & pale looking. Other clients were in Ms. L's room trying to help out. Upon assessment, her BP was 80/60, HR 110bpm.
Question 1 of 5
The top nursing priority includes:
Correct Answer: A
Rationale: Hypotension and tachycardia suggest postpartum hemorrhage, requiring immediate physician notification.
Extract:
Question 2 of 5
The client states, 'My discharge plan leaves me with a lot to do. I don't think I can do it. I'm never good at doing things.' The nurse knows the client lacks:
Correct Answer: D
Rationale: Expressing doubt in ability to manage the discharge plan indicates low self-efficacy, a belief in one's capacity to execute tasks.
Extract:
A mother indicates correct understanding of postpartum discharge instructions when starting that she will take her iron supplements with:
Question 3 of 5
A mother indicates correct understanding of postpartum discharge instructions when starting that she will take her iron supplements with:
Correct Answer: D
Rationale: Orange juice enhances iron absorption due to its vitamin C content.
Extract:
Question 4 of 5
The nurse is caring for a client with tuberculosis. Which precautions should the nurse take when providing care for this client? Select all that apply:
Correct Answer: A,B,F
Rationale: The nurse should always wear gloves when handling items contaminated with sputum or body secretions. All staff and visitors must wear face masks when coming in contact with the client in his room; masks must be discarded before leaving the client's room. Hand washing is required after direct contact with the client or contaminated articles. Strict isolation isn't required if the client adheres to special respiratory precautions. The client, not the people in contact with him, must wear a mask when leaving the room for tests. The client should be in a negative-pressure, private room, and the door should remain closed at all times to prevent the spread of infection.
Question 5 of 5
A client has been on antibiotics for 72 hours for cystitis. Which report from the client requires priority attention by the nurse?
Correct Answer: C
Rationale: Elevated temperature after 72 hours on an antibiotic indicates the antibiotic has not been effective in eradicating the offending organism. The provider should be informed immediately so that an appropriate medication can be prescribed, and complications such as pyelonephritis are prevented.