NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
Which finding, if present, should the nurse interpret to mean that dialysis has achieved the desired results?
Correct Answer: B
Rationale: A drop in blood pressure indicates successful fluid removal during dialysis, a primary goal. Weight gain, urine output, or normal glucose are not direct indicators of dialysis efficacy.
Question 2 of 5
In teaching clients with Buck's Traction, the major areas of importance should be:
Correct Answer: C
Rationale: Nutrition, elimination, comfort, and safety are critical for clients in Buck's traction to prevent complications like pressure ulcers or constipation. ROM and isotonic exercises may not be feasible. Basic Care and Comfort
Question 3 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 4 of 5
The registered nurse (RN) is planning care at a team meeting for a 2 month-old child in bilateral leg casts for congenital clubfoot. Which of these outcomes suggested by the practical nurse (PN) should be considered the priority nursing goal following cast application?
Correct Answer: D
Rationale: Tissue perfusion will be maintained. Immediately following cast application, the chief goal is to maintain circulation and tissue perfusion around the cast. Permanent tissue damage can occur within a few hours if perfusion is not maintained.
Question 5 of 5
The nurse is preparing to administer a dose of morphine sulfate to a client with postoperative pain. The client reports nausea. The nurse should
Correct Answer: C
Rationale: Nausea is a common side effect of morphine, and administering an antiemetic beforehand (if ordered) prevents discomfort while allowing pain relief. Administering without addressing nausea (
A) is inappropriate, holding the dose (
B) delays pain control, and dilution (
D) is incorrect for IV morphine.