NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
At term, Ms. Star is admitted to the hospital in active labor which progresses normally. She delivers a baby boy. A few hours after Ms. Star's delivery, the nurse notes that Ms. Star has saturated two perineal pads with blood within a 20-minute period.
Question 1 of 5
Which of the following actions should the nurse takes first?
Correct Answer: A
Rationale: A boggy uterus is a common cause of postpartum hemorrhage, making fundus assessment the first action.
Extract:
Question 2 of 5
A client with Alzheimer's disease mumbles incoherently and rambles in a confused manner. To help redirect the client's attention, the nurse should encourage the client to:
Correct Answer: A
Rationale: Folding towels and pillowcases is a simple activity that redirects the client's attention. Also, because this activity is familiar, the client is likely to perform it successfully. Cards, charades, and aerobic exercise are too complicated for a confused client.
Question 3 of 5
The nurse has been assigned to four clients in the emergency room, each experiencing one of these conditions. Which client condition would the nurse check first?
Correct Answer: C
Rationale: Tension pneumothorax with slight tracheal deviation to the right. Tracheal deviation indicates a life-threatening condition with risk of cardiac tamponade.
Question 4 of 5
A 6-week-old infant is admitted with suspected pyloric stenosis. Which finding is characteristic of the infant with pyloric stenosis?
Correct Answer: B
Rationale: Pyloric stenosis presents with a palpable, olive-shaped mass in the epigastrium due to pyloric muscle hypertrophy. Colicky pain is nonspecific, currant jelly stools suggest intussusception, and grain intolerance indicates celiac disease.
Question 5 of 5
A client who has hypokalemia asks the nurse for dietary advice on what foods would help this problem. What should the nurse tell the client?
Correct Answer: B
Rationale: Oranges, bananas, and prunes are potassium-rich, directly addressing hypokalemia through dietary intake.