NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
While assessing a 1 month-old infant, which finding should the nurse report immediately?
Correct Answer: C
Rationale: Inspiratory grunt. Inspiratory grunting is abnormal and may be a sign of respiratory distress in this infant.
Question 2 of 5
The nurse is reviewing a client's pre-op lab values. Which of the following lab results warrants immediate attention?
Correct Answer: A
Rationale: A prothrombin time of 1 minute and 20 seconds is significantly prolonged, indicating a bleeding risk that requires immediate attention before surgery.
Question 3 of 5
The nurse is performing an assessment on a client who is cachectic and has developed an enterocutaneous fistula following surgery to relieve a small bowel obstruction. The client's total protein level is reported as 4.5 g/dl. Which of the following would the nurse anticipate?
Correct Answer: C
Rationale: The client is not absorbing nutrients adequately as evidenced by the cachexia and low protein levels. (A normal total serum protein level is 6.0-8.0 g/dl.) TPN will promote a positive nitrogen balance in this client who is unable to digest and absorb nutrients adequately.
Question 4 of 5
A 6-week-old infant is admitted with suspected pyloric stenosis. Which finding is characteristic of the infant with pyloric stenosis?
Correct Answer: B
Rationale: Pyloric stenosis presents with a palpable, olive-shaped mass in the epigastrium due to pyloric muscle hypertrophy. Colicky pain is nonspecific, currant jelly stools suggest intussusception, and grain intolerance indicates celiac disease.
Extract:
When assessing an individual with a spontaneous pneumothorax, there is a danger of mediastinal shift.
Question 5 of 5
Mediastinal shift is described as:
Correct Answer: A
Rationale: Mediastinal shift involves tracheal deviation to the unaffected side due to pressure imbalance.