NCLEX-PN Exam Questions - Part 123

1. A nurse has just started on the 7PM surgical unit shift. Which of the following patients should the nurse check on first?

A) A 75 year-old female who is scheduled for an EGD in 10 hours.
B) A 34 year-old male who is complaining of low back pain following back surgery and has an onset of urinary incontinence in the last hour.
C) A 21 year-old male who had a lower extremity BKA yesterday, following a MVA and has phantom pain.
D) A 27 year-old female who has received 1.5 units of RBC - s. via transfusion the previous day.



2. A 64 year-old Alzheimers patient has exhibited excessive cognitive decline resulting in harmful behaviors. The physician orders restraints to be placed on the patient. Which of the following is the appropriate procedure?

A) Secure the restraints to the bed rails on all extremities.
B) Notify the physician that restraints have been placed properly.
C) Communicate with the patient and family the need for restraints.
D) Position the head of the bed at a 45 degree angle.



3. A 22 year-old patient in a mental health lock-down unit under suicide watch appears happy about being discharged. Which of the following is probably happening?

A) The patient is excited about being around family again.
B) The patient - s suicide plan has probably progressed.
C) The patient - s plans for the future have been clarified.
D) The patient - s mood is improving.



4. A patient that has delivered a 8.2 lb. baby boy 3 days ago via c-section, reports white patches on her breast that arent going away. Which of the following medications may be necessary?

A) Nystatin
B) Atropine
C) Amoxil
D) Loritab



5. A 13 year old girl is admitted to the ER with lower right abdominal discomfort. The admitting nursing should take which the following measures first?

A) Administer Loritab to the patient for pain relief.
B) Place the patient in right sidelying position for pressure relief.
C) Start a Central Line.
D) Provide pain reduction techniques without administering medication.