NCLEX-PN
Quizlet NCLEX PN 2023 Questions
Extract:
Question 1 of 5
A nurse is instructing a patient on the order of sensations with the application of an ice water bath for a swollen right ankle. Which of the following is the correct order of sensations experienced with an ice water bath?
Correct Answer: A
Rationale: The correct order of sensations experienced with an ice water bath is cold, burning, aching, and numbness, as stated by the acronym CBAN (cold, burn, ache, numbness). Option A is the correct sequence.
Choice B is incorrect as it starts with burning, which typically follows the cold sensation.
Choice C is incorrect as aching is usually felt after the burning sensation.
Choice D is incorrect as aching usually occurs after the burning sensation.
Question 2 of 5
What is the best lab test to diagnose disseminated intravascular coagulation (DIC)?
Correct Answer: D
Rationale: The best lab test to diagnose disseminated intravascular coagulation (DI
C) is the D-dimer test. In DIC, numerous small clots form throughout the body and are rapidly broken down. D-dimer measures a specific fibrin split product and is the most specific test for DIC. Platelet count (
Choice
A) is decreased in DIC due to consumption, but it is not specific for diagnosing DIC. Prothrombin time (PT -
Choice
B) and partial thromboplastin time (PTT -
Choice
C) are both elevated in DIC because clotting factors have been used up, but they are not specific for DIC as they can be elevated in other conditions as well.
Question 3 of 5
A 55-year-old female asks a nurse the following, “Which mineral/vitamin is the most important to prevent the progression of osteoporosis?†The nurse should state:
Correct Answer: C
Rationale: The correct answer is C: Calcium. Calcium is essential for maintaining bone health and is crucial in preventing osteoporosis. Adequate calcium intake, along with vitamin D, is vital for bone strength. While other minerals and vitamins are also important for overall health, in the context of preventing osteoporosis, calcium plays a primary role. Potassium (
Choice
A), Magnesium (
Choice
B), and Vitamin B12 (
Choice
D) are important for various bodily functions but are not as directly linked to preventing osteoporosis as calcium.
Question 4 of 5
A client had a colostomy done one day ago. Which of the following is an abnormal finding when assessing the stoma?
Correct Answer: D
Rationale: A dark red color is an abnormal finding when assessing the stoma as it indicates inadequate blood supply, possibly due to ischemia. Mild edema, minimal bleeding, and a rose color are expected findings one day post colostomy surgery. Mild edema can be present due to tissue trauma and inflammation, minimal bleeding can occur initially, and a healthy stoma typically appears pink to red, known as a rose color, indicating good blood supply and tissue perfusion.
Therefore, the dark red color is the abnormal finding in this scenario.
Question 5 of 5
If your patient is acutely psychotic, which of the following independent nursing interventions would not be appropriate?
Correct Answer: C
Rationale: When a patient is acutely psychotic, they may not be able to effectively participate in group therapy due to their altered mental state. Group settings can be overwhelming and may exacerbate the patient's symptoms.
Choices A, B, and D are appropriate interventions.
Choice A is correct as providing calmness through one-on-one interaction can be beneficial in establishing trust and reducing anxiety.
Choice B is also important as recognizing and managing the nurse's feelings can prevent further escalation of the patient's symptoms.
Choice D is relevant as listening and identifying causes of the patient's behavior can aid in understanding and providing appropriate care tailored to the patient's needs.