NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
When caring for a client with urinary incontinence, which content should be reinforced by the nurse?
Correct Answer: D
Rationale: Antihistamines can aggravate urinary incontinence and should be avoided by these clients. Holding the urine, avoiding sodium, and restricting fluids have not been shown to reduce urinary incontinence.
Extract:
Six hours following bilateral hip replacement, an 80-year-old woman, transferred in from the Recovery Room to the Surgical Unit was observed to be confused and lethargic; VS are BP 82/56; HR 120; RR 28; skin cool and clammy; no c/o SOB; lungs sounds clear; u/o 20 ml/hour; T 36.5°C; WBC 9000.
Question 2 of 5
Based on this information, what condition appears to be developing?
Correct Answer: D
Rationale: Low blood pressure, tachycardia, and low urine output suggest hypovolemic shock, likely from postoperative bleeding.
Extract:
An elderly male patient admitted with a diagnosis of R/O cerebral vascular accident has had a significant change in his blood pressure: BP on admission was 160/100; an hour later BP went up to 180/110. The patient also appears 'sleepy'.
Question 3 of 5
Which assessment finding should the nurse report immediately to the provider?
Correct Answer: A
Rationale: Unilateral facial drooping is a classic sign of a stroke, requiring immediate reporting to the provider for urgent intervention.
Extract:
Question 4 of 5
The nurse is caring for a client who has been on bed rest for several weeks. Which problem is least likely to be related to bed rest?
Correct Answer: C
Rationale: Varicose veins are primarily genetic or occupational, not directly caused by bed rest. Muscle atrophy, pneumonia, and thrombophlebitis are common bed rest complications.
Question 5 of 5
The nurse has been assigned to four clients in the emergency room, each experiencing one of these conditions. Which client condition would the nurse check first?
Correct Answer: C
Rationale: Tension pneumothorax with slight tracheal deviation to the right. Tracheal deviation indicates a life-threatening condition with risk of cardiac tamponade.