NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:

A colleague came in to work in your unit with scent of alcohol in his uniform. When asked, he claimed that on his way to work, a gentleman accidentally spilled a glass of wine on his shirt. However, you noted that his breath smells alcohol.


Question 1 of 5

Which of the following nursing actions will be best for the nurse to take?

Correct Answer: B

Rationale: Informing the supervisor addresses potential impairment, ensuring patient safety.

Extract:

Atherosclerosis:


Question 2 of 5

Atherosclerosis:

Correct Answer: B

Rationale: Atherosclerosis involves fatty deposits (plaques) in arterial walls, causing narrowing.

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 3 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:

The primary responsibility of a nurse during a patient's generalized motor seizure is:


Question 4 of 5

The primary responsibility of a nurse during a patient's generalized motor seizure is:

Correct Answer: C

Rationale: Clearing the environment prevents injury during a seizure, the nurse's primary responsibility.

Extract:

This is a 45-year-old patient who lost large amount of blood due to gunshot wound (GSW) on the thigh and abdomen. The patient develops hypotension while receiving transfusion.


Question 5 of 5

Which of the following other symptoms, if seen in this patient, would be most significant in terms of realizing that a potential complication is occurring?

Correct Answer: B

Rationale: Back pain in a blood transfusion reaction indicates kidney involvement, a significant complication requiring immediate attention.

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