NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
Why is it often necessary to draw a complete blood count and differential (CBC/differential) when a client is being treated with an antiepileptic drug (AED)?
Correct Answer: D
Rationale: Some AEDs cause aplastic anemia and megaloblastic anemia.
Question 2 of 5
A young woman is transferred to a psychiatric crisis unit with a diagnosis of a dissociative disorder. The nurse knows which of the following comments by the client is MOST indicative of this disorder?
Correct Answer: B
Rationale: Dissociative disorders involve detachment from reality, such as feeling disconnected from surroundings (depersonalization/derealization), as in choice B. Nightmares (
A) suggest PTSD, fear of dying (
C) indicates panic disorder, and checking locks (
D) points to OCD.
Extract:
In caring for a patient with ALS (Amyotrophic Lateral Sclerosis)
Question 3 of 5
In caring for a patient with ALS (Amyotrophic Lateral Sclerosis), the nursing diagnosis with the HIGHEST priority would be:
Correct Answer: C
Rationale: Ineffective airway clearance is the highest priority due to risk of respiratory failure in ALS.
Extract:
Question 4 of 5
The nurse is preparing to administer an injection of haloperidol decanoate (Haldol D). Which of the following actions by the nurse is MOST appropriate?
Correct Answer: B
Rationale: Haloperidol decanoate is highly irritating to subcutaneous tissue, requiring deep IM injection into a large muscle (e.g., gluteus) to ensure proper absorption and minimize tissue damage. Massaging (
A) risks irritation, a 25-gauge needle (
C) is too small, and dividing doses (
D) is incorrect.
Question 5 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.