NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
When talking with a patient who has been diagnosed as having myasthenia gravis, the nurse observes that the patient has:
Question 1 of 5
When talking with a patient who has been diagnosed as having myasthenia gravis, the nurse observes that the patient has:
Correct Answer: B
Rationale: Myasthenia gravis causes muscle weakness, often leading to difficulty swallowing (dysphagia).
Extract:
A patient has an anaphylactic reaction within the 1st half hour after an IV infusion containing Ampicillin is started.
Question 2 of 5
The nurse understands that the symptoms occurring during an anaphylactic reaction are the result of:
Correct Answer: C
Rationale: Anaphylaxis causes bronchoconstriction and vasodilation, leading to respiratory distress and hypotension.
Extract:
Question 3 of 5
The nurse is caring for a post-op colostomy client. The client begins to cry, saying 'I'll never be attractive again with this ugly red thing.' What should be the first action taken by the nurse?
Correct Answer: D
Rationale: Encourage the client to discuss her feelings about the colostomy. Assessing the client's personal feelings about the stoma and colostomy care is essential to identify specific concerns before offering solutions.
Question 4 of 5
A client is admitted to the hospital with a diagnosis of deep vein thrombosis. During the initial assessment, the client complains of sudden shortness of breath. The SaO2 is 87. The priority nursing assessment at this time is
Correct Answer: D
Rationale: Lung sounds are critical assessments at this point. The nurse should be alert to crackles or a pleural friction rub, highly suggestive of a pulmonary embolism.
Extract:
When monitoring a patient who is receiving a blood transfusion
Question 5 of 5
The nurse would analyze an elevated body temperature as indicating
Correct Answer: C
Rationale: Fever during transfusion may indicate a reaction, requiring immediate evaluation.