NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 51:

  A patient 3 hours post-op from a hysterectomy is complaining of intense pain at the incision site. When assessing the patient the nurse notes a BP of 169/93, pulse 145 bpm and regular.

  What action should the nurse take?

  A. Reassure patient that pain is normal following surgery.

  B. Administer prn Nifedipine and assess client's response.

  C. Administer prn Meperidine HCL and assess client's response.

  D. Recheck BP and pulse rate every 20 minutes for the next hour.

  Correct Answer: C

  A sinus tachycardia is a physiological response to pain.

  Treating the cause of the increased pulse rate requires pain medication.

• Question 52:

  A nurse is reviewing a patient's medical record. The record indicates the patient has limited shoulder flexion on the left.

  Which plane of movement is limited?

  A. Horizontal

  B. Sagittal

  C. Frontal

  D. Vertical

  Correct Answer: B

  Sagittal motion occurs in the midline plane of the body.

• Question 53:

  A client is 36 hours post-op a TKR surgery. 270 cc's of sero-sanguinous accumulates in the surgical drains.

  What action should the nurse take?

  A. Notify the doctor

  B. Empty the drain

  C. Do nothing

  D. Remove the drain

  Correct Answer: A

  The physician should be notified if excessive drainage is noted from the surgical site.

• Question 54:

  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?

  A. Shock phase

  B. Emergent phase

  C. Healing phase

  D. Wound proliferation phase

  Correct Answer: A

  The shock phase is considered the first 24-48 hours in wound management.

• Question 55:

  A nurse is caring for a patient who has experienced burns to the right lower extremity.

  According to the Rule of Nines, which of the following percents most accurately describes the severity of the injury?

  A. 36%

  B. 27%

  C. 18%

  D. 9%

  Correct Answer: C

  Each lower extremity is scored as 18% according to the Rule of Nines.

• Question 56:

  A nurse is caring for a retired MD. The MD asks the question, "What type of cells create exocrine secretions?"

  The correct answer is __________.

  A. alpha cells

  B. beta cells

  C. acinar cells

  D. plasma cells

  Correct Answer: C

  Acinar cells create exocrine secretions.

• Question 57:

  A patient has been ordered to get Klonapin for the first time. Which of the following side effects is not associated with Klonapin?

  A. Drowsiness

  B. Ataxia

  C. Salivation elevated

  D. Diplopia

  Correct Answer: D

  Drowsiness, Ataxia, Salivation elevated are associated side effects of Klonapin.

• Question 58:

  A patient has been ordered to get Tegretol for the first time. Which of the following side effects is not associated with Tegretol?

  A. Sore throat

  B. Vertigo

  C. Fever

  D. Shortness of breath

  Correct Answer: D

  Sore throat, Vertigo, Fever are associated side effects of Tegretol.

• Question 59:

  A nurse has been ordered to administer Morphine to a patient.

  Which of the following effects is unrelated to Morphine's effects on the patient?

  A. Depressed function of the CNS

  B. Increased blood flow

  C. Decreased venous capacity

  D. Pain relief

  Correct Answer: C

  Venous capacity increases with morphine use.

• Question 60:

  Which of the following medications is not considered a neuromuscular blocker?

  A. Anectine

  B. Pavulon

  C. Pitressin

  D. Mivacron

  Correct Answer: C

  Pitressin is a hormone replacement medication.