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
An elderly client is returned to her room after an open reduction and internal fixation of the left femoral head after a fracture. It is MOST important for the nursing care plan to include that the client
Correct Answer: D
Rationale: Coughing and deep breathing prevent respiratory complications like pneumonia due to immobility post-surgery. A high-residue diet (not low,
A) prevents constipation, side-lying (
B) is allowed later, and exercises (
C) are secondary to respiratory care.
Question 3 of 5
The nurse is assessing a client with a suspected myocardial infarction. Which of the following findings would be MOST concerning to the nurse?
Correct Answer: D
Rationale: New-onset ventricular arrhythmias are life-threatening in myocardial infarction, indicating myocardial irritability and risk of sudden cardiac death, requiring immediate intervention. Chest pain relieved by rest (
A), mild hypertension (
B), and tachycardia (
C) are less urgent.
Question 4 of 5
The nurse is preparing a five-year-old child for surgery. The nurse notes that the child's parents are divorced and have joint legal custody. The informed consent for surgery has been signed by the mother. Which of the following actions by the nurse is BEST?
Correct Answer: D
Rationale: Consent from either parent with joint legal custody is sufficient for surgical procedures. Since the mother has provided informed consent, no further action is needed, and the nurse should continue preoperative preparation. Notifying the physician or surgery, or contacting the father, is unnecessary.
Question 5 of 5
The nurse is assessing a 78-year-old woman. The woman says she has some bladder discomfort and urinary frequency. She also says, 'I mind the cold so, but I don't seem to shiver. I don't have much energy these days.' Her temperature is 98.9°F, pulse is 76, respirations are 20, and blood pressure is 140/88. Which findings are of most concern to the nurse and need to be further evaluated?
Correct Answer: C
Rationale: Bladder discomfort, frequency, and fatigue may indicate a urinary tract infection or other systemic issue, requiring evaluation. Vital signs are normal, and shivering/cold sensitivity is less urgent.