NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
A patient with history of asthma presented himself to the outpatient clinic due to feeling of tightness on his chest, audible wheezing and mild shortness of breath. Upon arrival at the clinic his peak flow was at 480 liters/minute but in an hour of arrival, his peak flow has dropped to 200 liters/minute.
Question 1 of 5
What should the nurse do first?
Correct Answer: B
Rationale: A significant drop in peak flow indicates worsening asthma. Administering albuterol inhalation is the first action to relieve bronchospasm.
Extract:
Question 2 of 5
Why must the nurse be careful not to cut through or disrupt any tears, holes, bloodstains, or dirt present on the clothing of a client who has experienced trauma?
Correct Answer: C
Rationale: Trauma victims' clothing may contain forensic evidence critical for legal investigations, requiring preservation to maintain the chain of evidence custody. Physiological Adaptation
Question 3 of 5
What question should the nurse ask the client who presents for an MRI test?
Correct Answer: C
Rationale: Metal in the body (e.g., implants) is contraindicated for MRI due to magnetic interference, making this question essential. Allergies, fasting, or laxatives are less relevant.
Question 4 of 5
Post-procedure nursing interventions for electroconvulsive therapy include
Correct Answer: C
Rationale: Remaining with client until oriented. The client is groggy and confused post-procedure, requiring close monitoring until fully oriented.
Question 5 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