NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
Which instruction should be included in the discharge teaching for a client with cataract surgery?
Correct Answer: B
Rationale: Wearing an eye shield at night protects the surgical site from accidental trauma during sleep, a standard post-cataract surgery instruction.
Extract:
The nurse understands that Mr. Holland's ascites related to cirrhosis
Question 2 of 5
The nurse understands that Mr. Holland's ascites related to cirrhosis is most likely the result of:
Correct Answer: A
Rationale: Impaired portal venous return causes fluid accumulation in the peritoneal cavity, leading to ascites.
Extract:
Question 3 of 5
Oxygen has been ordered for a client who was admitted to the hospital with congestive heart failure. Which assessment finding indicates that the oxygen has been effective?
Correct Answer: B
Rationale: A decreased respiratory rate indicates improved oxygenation, alleviating respiratory distress in congestive heart failure.
Question 4 of 5
The nurse is caring for a client after a motor vehicle accident. The client has a fractured tibia, and bone is noted protruding through the skin. Which action is of priority?
Correct Answer: B
Rationale: The client has an open fracture. The priority would be to cover the wound and prevent further contamination. Manual traction should not be attempted, so answer A is incorrect. Swelling usually occurs with a fracture, making answer C an incorrect option. Changing the client to the prone position would cause excessive movement and is inappropriate, so Answer D is incorrect.
Question 5 of 5
The nurse observes a certified nursing assistant (CNA) placing a hot water bottle directly on the skin of a 90-year-old client. What action should the nurse take initially?
Correct Answer: B
Rationale: Direct placement of a hot water bottle on the skin risks burns, especially in an elderly client with fragile skin. Interrupting the procedure immediately prevents harm. Reporting, discussing later, or notifying the physician are secondary to stopping the unsafe action.