NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
Which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours after the procedure?
Correct Answer: B
Rationale: Thrombus formation in the coronary arteries is a potential problem in the initial 24 hours after a cardiac catheterization. A falling BP occurs along with hemorrhage of the insertion site which is within the first 12 hours after the procedure.
Question 2 of 5
A woman has been recently diagnosed with systemic lupus and shares with the nurse, 'I am thinking about getting pregnant, but I don't know how I will be able to tolerate a pregnancy since I have lupus.' Which of the following responses by the nurse is BEST?
Correct Answer: B
Rationale: Systemic lupus erythematosus (SLE) increases maternal morbidity and mortality during pregnancy, and active disease can exacerbate complications. Pregnancy is safest when SLE is in remission for at least 5–6 months prior to conception. Asking about remission status assesses the client’s disease activity, which is critical for planning a safe pregnancy.
Choice A is inaccurate, as SLE symptoms may worsen; choice C is false, as gestation length is unaffected; and choice D is incorrect, as conception is recommended after 2 years of stable disease.
Extract:
Following a head injury a patient develops a deficiency in anti diuretic hormone (ADH).
Question 3 of 5
Normally secretion of ADH
Correct Answer: A
Rationale: Reabsorption of sodium and water in the tubules decreases urinary output and retains body fluids, preventing diuresis.
Extract:
Question 4 of 5
In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:
Correct Answer: C
Rationale: Bleeding problems are not specific to diabetes management in a disaster. Assessing diabetic symptoms, nutrition, and insulin availability are critical for care continuity. Safety and Infection Control
Extract:
This is a 45-year-old patient who lost large amount of blood due to gunshot wound (GSW) on the thigh and abdomen. The patient develops hypotension while receiving transfusion.
Question 5 of 5
Which of the following other symptoms, if seen in this patient, would be most significant in terms of realizing that a potential complication is occurring?
Correct Answer: B
Rationale: Back pain in a blood transfusion reaction indicates kidney involvement, a significant complication requiring immediate attention.