NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
To remove hard contact lenses from an unresponsive client, the nurse should:
Correct Answer: D
Rationale: Ensuring the lens is on the cornea and gently manipulating the lids prevents corneal damage during removal. Grasping or irrigating may cause injury, and sterile gloves are unnecessary unless infection is present. Basic Care and Comfort
Question 2 of 5
A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode. In the ICU, continuous Heparin drip therapy is initiated. Which of the following assessment findings indicates a positive response to Heparin therapy?
Correct Answer: B
Rationale: Heparin in DIC halts excessive clotting, preserving fibrinogen by preventing its conversion to fibrin. Increased fibrinogen indicates effective therapy. Other options are secondary or less specific indicators. Physiological Adaptation
Extract:
Fluid shift occurs immediately following the onset of burn.
Question 3 of 5
Nursing assessment indicating fluid shift include:
Correct Answer: B
Rationale: Delayed capillary refill is evident due to lack of volume and oxygen, indicating fluid shift post-burn.
Extract:
Question 4 of 5
A 76-year-old man living at the long-term care facility has lost 10 lb in the last two months. He states that although he has had dentures for two years, they have not felt comfortable for the past three or four months so he rarely uses them at mealtime. The nurse's first priority would be to ask the client's physician to do which of the following?
Correct Answer: B
Rationale: A dental consult addresses ill-fitting dentures, the root cause of weight loss, prioritizing correction to improve nutrition.
Extract:
When talking with a patient who has been diagnosed as having myasthenia gravis, the nurse observes that the patient has:
Question 5 of 5
When talking with a patient who has been diagnosed as having myasthenia gravis, the nurse observes that the patient has:
Correct Answer: B
Rationale: Myasthenia gravis causes muscle weakness, often leading to difficulty swallowing (dysphagia).