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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Free Practice Questions Questions

Extract:


Question 1 of 5

When death is imminent, the nurse observes the client for:

Correct Answer: B

Rationale: Cheyne-Stokes respiration, with alternating deep and shallow breathing and apnea, is a common sign of impending death, often linked to cardiac failure. The other signs are less specific. Psychosocial Integrity

Question 2 of 5

The nurse is caring for a client in the emergency department who presents with a complaint of fatigue and shortness of breath. Which physical assessment findings if noted by the nurse warrants a need for follow up?

Correct Answer: C

Rationale: A reddish purple mark on the neck (e.g., bruising or petechiae) with fatigue and shortness of breath may indicate a hematologic or cardiovascular issue, requiring follow-up. Reddened sclera, scalp flaking, or rashes are less urgent and unrelated to the primary symptoms.

Question 3 of 5

All of the following need to be done. Which should the nurse delegate to the certified nursing assistant?

Correct Answer: B

Rationale: Hygienic care is within a CNA's scope. Medication, catheterization, and dressing changes require nursing skills.

Extract:

When obtaining a health history from a young patient with probable acute lymphocytic leukemia (ALL), the clinical manifestations the nurse should expect to be present:


Question 4 of 5

When obtaining a health history from a young patient with probable acute lymphocytic leukemia (ALL), the clinical manifestations the nurse should expect to be present:

Correct Answer: C

Rationale: Anorexia and petechiae are common in ALL due to bone marrow suppression.

Extract:


Question 5 of 5

An adult is admitted with arteriosclerosis obliterans. Which finding would the nurse most expect to see in this client?

Correct Answer: D

Rationale: Arteriosclerosis obliterans reduces arterial blood flow, causing cool extremities, especially in the legs. Swelling is more related to venous issues, cold-induced hand pain suggests Raynaud's, and BP is unrelated.

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