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NCLEX-PN Exam Questions - Part 129
1. A nurse taking a patients history realizes the patient is complaining of SOB and weakness in the lower extremities. The patient has a history of hyperlipidemia, and hypertension. Which of the following may be occurring?
A) The patient is developing CHF
B) The patient may be having a MI
C) The patient may be developing COPD
D) The patient may be having an onset of PVD
2. A nurse has been assigned a patient who has recently been diagnosed with Guillain-Barre - Syndrome. Which of the following statements is the most applicable when discussing the impairments with Guillain-Barre - Syndrome with the patient?
A) Guillain-Barre - Syndrome gets better after 5 years in almost all cases.
B) Guillain-Barre - Syndrome causes limited sensation in the abdominal region.
C) Guillain-Barre - Syndrome causes muscle weakness in the legs.
D) Guillain-Barre - Syndrome does not effect breathing in severe cases.
3. 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?
A) A 8 year-old boy has been vomiting and appears to have slower movements and has a history of an atrio-ventricular shunt placement.
B) A 10 year-old girl feels a dull pain in her abdomen after doing sit-ups in gym class.
C) A 7 year-old boy has been having a low fever and headache for the past 3 days that has history of an anterior knee wound.
D) A 7 year-old girl that had a cast on her right ankle is complaining of itching.
4. A 27 year-old woman has delivered twins in the OB unit. The patient develops a condition of 5 centimeter diastasis recti abdominis. Which of the following statements is the most accurate when instructing the patient?
A) Sit-ups are o.k. to do as long as you don - t strain
B) This condition leads to surgery in 80% of cases.
C) Guarding the abdominal region is important at this time.
D) Antibiotics are required for this condition in 70% of patients.
5. A nurse is assessing a patient in the rehab unit at shift change. The patient has suffered a TBI 3 weeks ago. Which of the following is the most distinguishing characteristic of a neurological disturbance?
A) LOC (level of consciousness)
B) Short term memory
C) + Babinski sign
D) + Clonus sign
A) The patient is developing CHF
B) The patient may be having a MI
C) The patient may be developing COPD
D) The patient may be having an onset of PVD
2. A nurse has been assigned a patient who has recently been diagnosed with Guillain-Barre - Syndrome. Which of the following statements is the most applicable when discussing the impairments with Guillain-Barre - Syndrome with the patient?
A) Guillain-Barre - Syndrome gets better after 5 years in almost all cases.
B) Guillain-Barre - Syndrome causes limited sensation in the abdominal region.
C) Guillain-Barre - Syndrome causes muscle weakness in the legs.
D) Guillain-Barre - Syndrome does not effect breathing in severe cases.
3. 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?
A) A 8 year-old boy has been vomiting and appears to have slower movements and has a history of an atrio-ventricular shunt placement.
B) A 10 year-old girl feels a dull pain in her abdomen after doing sit-ups in gym class.
C) A 7 year-old boy has been having a low fever and headache for the past 3 days that has history of an anterior knee wound.
D) A 7 year-old girl that had a cast on her right ankle is complaining of itching.
4. A 27 year-old woman has delivered twins in the OB unit. The patient develops a condition of 5 centimeter diastasis recti abdominis. Which of the following statements is the most accurate when instructing the patient?
A) Sit-ups are o.k. to do as long as you don - t strain
B) This condition leads to surgery in 80% of cases.
C) Guarding the abdominal region is important at this time.
D) Antibiotics are required for this condition in 70% of patients.
5. A nurse is assessing a patient in the rehab unit at shift change. The patient has suffered a TBI 3 weeks ago. Which of the following is the most distinguishing characteristic of a neurological disturbance?
A) LOC (level of consciousness)
B) Short term memory
C) + Babinski sign
D) + Clonus sign
1. Right Answer: B
Explanation: Myocardial infarction may be associated with SOB and muscle weakness.
2. Right Answer: C
Explanation: Muscle weakness in the lower extremities is found in acute cases of Guillain-Barre Syndrome.
3. Right Answer: A
Explanation: The shunt may be blocked and require immediate medical attention.
4. Right Answer: C
Explanation: Protection of the abdominal wall is critical at this point in time.
5. Right Answer: A
Explanation: LOC is the most critical indicator of impaired neurological capabilities.
Explanation: Myocardial infarction may be associated with SOB and muscle weakness.
2. Right Answer: C
Explanation: Muscle weakness in the lower extremities is found in acute cases of Guillain-Barre Syndrome.
3. Right Answer: A
Explanation: The shunt may be blocked and require immediate medical attention.
4. Right Answer: C
Explanation: Protection of the abdominal wall is critical at this point in time.
5. Right Answer: A
Explanation: LOC is the most critical indicator of impaired neurological capabilities.
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