NCLEX Questions, Free NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free NCLEX-PN Practice Questions Questions

Extract:

When taking the BP of a patient who has AIDS the nurse must:


Question 1 of 5

Wear clean gloves.

Correct Answer: D

Rationale: Blood and body fluid precautions require that hands be washed before and after patient care to minimize the risk of transmission.

Extract:


Question 2 of 5

A nurse is caring for a pregnant patient in her third trimester. Which of the following findings should be reported immediately?

Correct Answer: C

Rationale: Severe headache and visual disturbances may indicate preeclampsia, a life-threatening condition requiring immediate reporting. Mild edema, heartburn, and frequent urination are common in the third trimester.

Extract:

John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.


Question 3 of 5

In the context of Mr. H's chest tubes, part of his routine assessment include:

Correct Answer: B

Rationale: Palpating for crepitus detects subcutaneous emphysema, a potential complication.

Extract:


Question 4 of 5

During morning rounds, the nurse notices blood spots on the pillowcase of a child with acute lymphoid leukemia. The nurse should be most concerned about the client's:

Correct Answer: C

Rationale: Blood spots suggest bleeding, likely due to low platelets (thrombocytopenia) in acute lymphoid leukemia, so C is correct. Red blood cell count , white blood cell count , and reticulocyte count are less directly related to bleeding.

Extract:

A client's monitor shows a PQRST wave for each beat and indicates a rate of 120. The rhythm is regular.


Question 5 of 5

The nurse should note that the client is experiencing:

Correct Answer: B

Rationale: A regular rhythm with a rate of 120 and normal PQRST waves indicates sinus tachycardia.

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