NCLEX-PN
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:
Francis went into diabetic coma.
Question 2 of 5
The nurse may observe which one as typical manifestation(s) of ketoacidosis:
Correct Answer: B
Rationale: Deep, rapid respirations are the body's effort to get rid of excess acid through breathing, a hallmark of ketoacidosis.
Extract:
Question 3 of 5
A patient with schizophrenia is prescribed risperidone (Risperdal). Which of the following side effects should the nurse monitor for?
Correct Answer: C
Rationale: Risperidone, an antipsychotic, commonly causes extrapyramidal symptoms (e.g., tremors, rigidity), requiring monitoring. Weight gain, not loss, is typical, and hyperactivity or insomnia are less common.
Question 4 of 5
The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to?
Correct Answer: C
Rationale: The measurement and recording of vital signs may be delegated to UAP. This falls under the umbrella of routine task with stable clients. Other considerations for delegation of care to UAP would be: Who is capable and is the least expensive worker to do each task?
Extract:
The best nursing intervention to minimize perineal edema following episiotomy would be:
Question 5 of 5
The best nursing intervention to minimize perineal edema following episiotomy would be:
Correct Answer: C
Rationale: Ice packs reduce swelling and edema in the perineal area post-episiotomy.