NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
The patient with pancreatitis may exhibit Cullen's sign on the physical examination.
Question 1 of 5
Which of the following symptoms best describes Cullen's sign?
Correct Answer: D
Rationale: Cullen's sign is periumbilical bluish discoloration, indicating intra-abdominal bleeding.
Extract:
Question 2 of 5
An adult is scheduled for surgery today and has signed an operative permit. As the nurse is about to administer the client's preoperative medication, the client says that she has changed her mind and no longer wishes to have the surgery. How should the nurse respond?
Correct Answer: C
Rationale: The client has the right to withdraw consent. Notifying the physician allows discussion and respects autonomy. Signed consents are not binding, medication should be withheld, and reassurance dismisses concerns.
Question 3 of 5
A client complains of pain and itching from herpes zoster. Which of the following provides temporary relief?
Correct Answer: B
Rationale: Blowing cool air can soothe the pain and itching of herpes zoster by reducing skin irritation without exacerbating the condition.
Question 4 of 5
The CVP reading of a client with partial thickness burns is 6 mm H2O. The nurse recognizes that the client:
Correct Answer: B
Rationale: A central venous pressure (CVP) reading of 6 mm H2O is within the normal range (2-8 mm H2O), indicating adequate fluid status. Answer A is incorrect because the client does not need additional fluids. Answer C is incorrect because a CVP of 6 does not suggest congestive failure. Answer D is incorrect because a diuretic is not indicated with a normal CVP.
Question 5 of 5
The nurse has taken the vital signs of a 95-year-old client: oral temperature = 98.6°F; pulse = 84 with a regular irregularity; respirations = 18; blood pressure = 140/86. Which nursing assessment(s) should be done first to obtain more data?
Correct Answer: A
Rationale: A regular irregularity in pulse suggests an arrhythmia, requiring an apical pulse for one minute to confirm and assess severity.