NCLEX-PN
Quizlet NCLEX PN 2023 Questions
Extract:
Question 1 of 5
A patient has experienced a severe third-degree burn to the trunk in the last 36 hours. Which phase of burn management is the patient in?
Correct Answer: A
Rationale: The correct answer is A: Shock phase. The shock phase occurs within the first 24-48 hours of burn management. During this phase, the focus is on stabilization, fluid resuscitation, and monitoring for potential complications.
Choice B, the Emergent phase, is incorrect as it refers to the initial phase of burn care immediately after the injury.
Choice C, the Healing phase, occurs later in the treatment process when the wound starts to repair itself.
Choice D, the Wound proliferation phase, is not a recognized phase in burn management.
Question 2 of 5
When assessing a client with early impairment of oxygen perfusion, such as a pulmonary embolus, the nurse should expect to find restlessness and which of the following symptoms?
Correct Answer: C
Rationale: When a client has early impairment of oxygen perfusion, such as in a pulmonary embolus, the nurse should expect to find restlessness, diaphoresis, tachycardia, and cool skin. Tachycardia is a compensatory mechanism to increase oxygen delivery to tissues. Cool, clammy skin (choice
A) is more indicative of impaired oxygen perfusion compared to warm, dry skin. Bradycardia (choice
B) is less likely to occur in the early stages and is more common in severe cases. Eupnea (choice
D) refers to normal respirations in rate and depth, which may not be altered in early impairment of oxygen perfusion.
Question 3 of 5
A nurse is returning phone calls in a pediatric clinic. Which of the following reports most requires the nurse's immediate attention and phone call?
Correct Answer: A
Rationale: The correct answer is the 8-year-old boy with vomiting, slower movements, and a history of an atrioventricular shunt placement. This report requires immediate attention because the symptoms could indicate a blocked shunt, which is a serious medical condition needing urgent evaluation and intervention. Slower movements in the context of an atrioventricular shunt history could suggest increased intracranial pressure. The other choices involve less urgent issues: choice B describes post-exercise pain, choice C presents with a low-grade fever and headache that could be due to a mild infection, and choice D reports itching associated with a cast, which is a common issue and less critical compared to a potentially blocked shunt.
Question 4 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 5 of 5
During a stress test, a patient complains of severe chest pain. Which of the following medications is the most appropriate to relieve this discomfort?
Correct Answer: C
Rationale: In this scenario, the most appropriate medication to relieve severe ischemic chest pain during a stress test is Procardia. Procardia, a calcium channel blocker, is effective in quickly alleviating chest pain by dilating coronary arteries, improving blood flow to the heart muscle. Aspirin, although important for antiplatelet effects, is not the best choice for immediate relief of severe chest pain. Diazoxide is a vasodilator used in hypertensive emergencies, not for acute chest pain. Mannitol is an osmotic diuretic used to reduce intracranial pressure, not for chest pain relief.