Free PN NCLEX Practice Questions
Question 1 of 5.
Extract:B.C. is a 14-yr-old boy who was brought to the ER after he had sustained flame burns. He had been wearing masquerade costume during Halloween celebration when his costume was set ablaze by the lighted candles in the party room. He extinguished the fire by rolling on the floor. On admission, resuscitation was commenced with intravenous fluids, antibiotics, and wound dressing. On examination he was found to be a young man, not pale, but febrile (body temperature, 37.8°C). He was tachypneic, RR 26 per min, with audible breath sounds bilaterally. Burn assessment revealed a total body surface area involved of 30%, with mixed-thickness burns sparing some patchy areas of the back and the right upper limb. B.C. anterior chest was affected.
For the first 24 hours after hospitalization, the nurse should primarily observe him for
A. wound sepsis.
B. complain of pain.
C. dyspnea or stridor.
D. initiate IV therapy.
Explanation: Inhalation burns are usually present with facial burns, regardless of the depth; the immediate threat to life is asphyxia from irritation and edema of the respiratory passages and lungs.
Question 2 of 5.
An adult is admitted to the psychiatric unit with a severe phobia. She develops severe anxiety when she crosses any type of bridge. She can no longer go to work or go shopping at the mall. The day after admission, she develops a panic attack and refuses to go to occupational therapy because she has to cross a bridge-like structure to go from one area of the hospital to another. How should the nurse respond to this situation?
A. Accompany the client as she goes to occupational therapy
B. Request that she be excused from occupational therapy until she is less anxious
C. Have a staff member walk her to occupational therapy by a different route that does not cross a bridge-like structure
D. Tell her that facing her fears is the only way to conquer them and that the nurse will help her do that
Explanation: Using an alternate route avoids triggering the phobia, allowing participation in therapy while respecting her current anxiety level.
Question 3 of 5.
The parent of a young adult recently diagnosed as being HIV positive calls the clinic in a panic saying, 'My son just cut himself shaving, and there is blood all over the bathroom. What should I do?' How should the nurse respond?
A. Tell the parent to call 911 and ask for the Hazmat Team to come and assist.
B. Suggest that the parent clean the bathroom with hot soapy water while wearing gloves.
C. Recommend that the parent put on rubber gloves and use household bleach to clean the blood spills.
D. Tell the parent to put on rubber gloves and clean the area with hydrogen peroxide.
Explanation: Household bleach effectively disinfects HIV in blood spills, and gloves protect the parent, following standard precautions.
Question 4 of 5.
A woman has just started receiving external radiation therapy. When the nurse enters the client's room, she notes that the client is scrubbing the area vigorously with soap and water. When asked about her actions, the woman replies that she is trying to get rid of the ugly purple marks. What is the best action for the nurse at this time?
A. Explain that the purple marks must stay on her because they tell the doctors where to beam the radiation
B. Suggest that alcohol will make it easier to remove the marks
C. Say, 'You feel the marks are ugly.'
D. Ask her if she checked with her physician before trying to remove the purple marks
Explanation: Radiation marks guide precise targeting; explaining their necessity prevents removal and ensures effective treatment.
Question 5 of 5.
An adult is scheduled for a cardioversion next week. What should the nurse plan to include when teaching the client about the procedure?
A. The client should be NPO for eight hours before the procedure.
B. The client will be awake during the procedure.
C. The procedure will probably need to be repeated every month for at least six months.
D. The procedure is usually done for life-threatening dysrhythmias such as ventricular fibrillation.
Explanation: Cardioversion requires sedation, so the client must be NPO for 8 hours to prevent aspiration. The client is sedated, not awake, it's not typically repeated monthly, and it's used for atrial arrhythmias, not ventricular fibrillation.
Related Questions
Priority nursing diagnosis on the patient who was admitted with acute renal failure would be:
Prior to initiating the first gastrostomy feeding, the nurse should perform which of the following?
The nurse should instruct the patient to
On admission of this patient, which of the following should be assessed first?
Which of these interventions would be a priority for the nurse to implement?