NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
Which of the following nursing actions has the HIGHEST priority for a teenager admitted with burns to 50% of his body?
Correct Answer: C
Rationale: Severe burns (50% of the body) significantly increase the risk of infection due to loss of skin barrier. Maintaining aseptic technique during procedures is the highest priority to prevent life-threatening infections. Counseling (
A) and peer visits (
D) address psychosocial needs, which are secondary, and airborne precautions (
B) are unnecessary (standard precautions suffice).
Question 2 of 5
The nurse is administering iron by the $\mathrm{Z}$ track method. Which technique would the nurse utilize to prevent tracking of the medication?
Correct Answer: D
Rationale: The $0.2 \mathrm{ml}$ of air that would be administered after the medication with an intramuscular injection would allow the medication to be dispersed into the muscle. In the answer A, the muscle is small. Answer C is an incorrect procedure, and answer B doesn't help with prevention of tracking.
Extract:
A teen-ager was diagnosed with iron-deficiency anemia.
Question 3 of 5
Appropriate diagnostic test would be:
Correct Answer: D
Rationale: A complete blood count (CB
C) assesses hemoglobin, hematocrit, and other parameters for anemia.
Extract:
Question 4 of 5
The nurse is caring for clients on a medical/surgical unit and determines that several situations need to be addressed. Which of the following situations should the nurse attend to FIRST?
Correct Answer: D
Rationale: A nosebleed post-radiation therapy is the least stable situation, as it may indicate a serious complication like tissue damage or coagulopathy, requiring immediate assessment. The daughter’s threat (
A) is administrative, the overdue assistant (
B) is a personnel issue, and the physician’s request (
C) can be delegated, all of which are lower priority.
Extract:
The nurse understands that Mr. Holland's ascites related to cirrhosis
Question 5 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.