NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
Which client is at risk for the development of pernicious anemia?
Correct Answer: A
Rationale: Gastric resection can lead to pernicious anemia due to reduced intrinsic factor production, impairing vitamin B12 absorption.
Question 2 of 5
An 18-month old is scheduled for a cleft palate repair. The usual type of restraints for a child with a cleft palate repair are:
Correct Answer: A
Rationale: Elbow restraints prevent the child from touching the surgical site while allowing some movement. Full arm or wrist restraints are too restrictive. Mummy restraints are used in other contexts.
Question 3 of 5
A client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects a belief that he is:
Correct Answer: A
Rationale: A client with delusions of grandeur has a false belief that he is highly important or famous. A delusion of persecution is a false belief that one is being persecuted. A delusion of reference is a false belief that one is connected to events unrelated to oneself or a belief that one is responsible for the evil in the world.
Question 4 of 5
A hospitalized client asks the nurse for 'something for pain.' Which information is most important for the nurse to gather before administering the medication? Select all that apply:
Correct Answer: A,B,C,D,F
Rationale: The nurse needs to know when the last dose was administered. Some clients request pain medication earlier than is ordered by the physician. Pain, the fifth vital sign, should be assessed using a pain scale and documented in the nursing notes whenever a pain medication is given. Pain is usually reassessed about 30 minutes after the medication is given. Physicians commonly order several different types of pain medication based on the client's condition. The nurse should know which medication and which route was used to administer prior dosages. Evaluating the effectiveness of medications is also an important nursing function when managing the client's pain.
Therefore, she should ask the client if the prior dose was helpful. The nurse should also note whether the client experienced any adverse effects of the medication. Most medications are ordered based on the client's admission weight, not current weight and height. A client's weight may fluctuate when he's in the hospital, so it's unlikely that the nurse will have the most current weight available. Also, taking steps to obtain the client's current weight postpones the pain treatment and can potentially worsen pain.
Extract:
Besides acute glomerulonephritis, a sequela of Streptococcus infection would be:
Question 5 of 5
Nephritic syndrome
Correct Answer: C
Rationale: Rheumatic fever is an inflammatory disease involving the joints, heart, CNS, and subcutaneous tissue, believed to be an autoimmune process triggered by Streptococcus infection.