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:

Which of the following signs and symptoms would a client with tuberculosis (TB) have?


Question 1 of 5

Which of the following signs and symptoms would a client with tuberculosis (TB) have?

Correct Answer: B

Rationale: TB commonly presents with chills, fever, night sweats, and hemoptysis.

Extract:


Question 2 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.

Question 3 of 5

The nurse is caring for a client with skin grafts covering third-degree burns on the arms and legs. During dressing changes, the nurse should be sure to:

Correct Answer: B

Rationale: Wrapping elastic bandages on dependent areas limits edema formation and bleeding and promotes graft acceptance. The nurse should wrap the client's arms and legs from the distal to proximal ends and use strict sterile technique throughout the dressing change. Applying maximum bandages should be avoided because bulky dressings limit mobility; instead, the nurse should use enough bandages to absorb wound drainage. Sterile gloves are required throughout all phases of the dressing change to prevent contamination.

Question 4 of 5

Which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours after the procedure?

Correct Answer: B

Rationale: Thrombus formation in the coronary arteries is a potential problem in the initial 24 hours after a cardiac catheterization. A falling BP occurs along with hemorrhage of the insertion site which is within the first 12 hours after the procedure.

Question 5 of 5

The nurse collects data on a client shortly after kidney transplant surgery. Which postoperative finding must the nurse report to the physician immediately?

Correct Answer: D

Rationale: Because kidney transplantation carries the risk of transplant rejection, infection, and other serious complications, the nurse should monitor the client's urinary function closely. A decrease from the normal urine output of 30 ml/hour is significant and warrants immediate physician notification. The other options are normal data collection findings.

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