NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
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 1 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 2 of 5
A 23 year-old single client is in the 33rd week of her first pregnancy. She tells the nurse that she has everything ready for the baby and has made plans for the first weeks together at home. Which normal emotional reaction does the nurse recognize?
Correct Answer: C
Rationale: Anticipation of the birth. Directing activities toward preparation for the newborn's needs and personal adjustment are indicators of appropriate emotional response in the third trimester.
Question 3 of 5
A geriatric client with Alzheimer's disease has been living with his grown child's family for the last 6 months. He wanders at night and needs help with activities of daily living. Which statement by his child suggests that the family is successfully adjusting to this living arrangement?
Correct Answer: D
Rationale: This statement demonstrates a realistic understanding of the client's disorder and effective family coping with the challenges it presents. Options 1 and 2 indicate that the family is having difficulty adjusting. Option 3 suggests that the family is in denial or has an unrealistic view of the prognosis for a client with Alzheimer's disease.
Question 4 of 5
The nurse is caring for a client with a history of chronic venous insufficiency. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: Leg elevation reduces venous pooling and edema in chronic venous insufficiency, improving circulation. Warm compresses (
A) are inappropriate, diuretics (
C) are not first-line, and restricting ambulation (
D) worsens stasis.
Question 5 of 5
The nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse prioritize?
Correct Answer: B
Rationale: Ensuring the endotracheal tube is secure prevents accidental extubation, maintaining airway and ventilation. ABGs (
A), sedatives (
C), and settings (
D) are important but secondary to airway security.