NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
When obtaining the health history from a patient who is seeking contraceptive information, the nurse should consider that oral contraceptives are contraindicated in a patient who:
Question 1 of 5
When obtaining the health history from a patient who is seeking contraceptive information, the nurse should consider that oral contraceptives are contraindicated in a patient who:
Correct Answer: B
Rationale: Smoking increases the risk of thromboembolism with oral contraceptives, making it a contraindication.
Extract:
Question 2 of 5
An elderly client with peripheral vascular disease has been using a heating pad. The first sign of thermal injury related to the use of a heating pad or a hot compress is:
Correct Answer: B
Rationale: Redness is the earliest sign of thermal injury due to vasodilation and inflammation. Swelling, blanching, and blisters appear later.
Question 3 of 5
The nurse is performing an assessment on a client who is cachectic and has developed an enterocutaneous fistula following surgery to relieve a small bowel obstruction. The client's total protein level is reported as 4.5 g/dl. Which of the following would the nurse anticipate?
Correct Answer: C
Rationale: The client is not absorbing nutrients adequately as evidenced by the cachexia and low protein levels. (A normal total serum protein level is 6.0-8.0 g/dl.) TPN will promote a positive nitrogen balance in this client who is unable to digest and absorb nutrients adequately.
Question 4 of 5
A client with Alzheimer's disease mumbles incoherently and rambles in a confused manner. To help redirect the client's attention, the nurse should encourage the client to:
Correct Answer: A
Rationale: Folding towels and pillowcases is a simple activity that redirects the client's attention. Also, because this activity is familiar, the client is likely to perform it successfully. Cards, charades, and aerobic exercise are too complicated for a confused client.
Question 5 of 5
The nurse is assessing a 78-year-old woman. The woman says she has some bladder discomfort and urinary frequency. She also says, 'I mind the cold so, but I don't seem to shiver. I don't have much energy these days.' Her temperature is 98.9°F, pulse is 76, respirations are 20, and blood pressure is 140/88. Which findings are of most concern to the nurse and need to be further evaluated?
Correct Answer: C
Rationale: Bladder discomfort, frequency, and fatigue may indicate a urinary tract infection or other systemic issue, requiring evaluation. Vital signs are normal, and shivering/cold sensitivity is less urgent.