Practice Quiz

NCLEX-PN Exam Practice - Question List

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156. An elderly patient comes into the emergency department to rule out stroke. On admission, vital signs are pulse 90, blood pressure 150/100 and respirations 20. Upon reassessment 30 minutes later, vital signs are pulse 78, blood pressure 170/90 and respirations 24 and irregular. What should be the nurse’s first priority?
  1. Have the patient describe how they are feeling.
  2. Check the patient’s Dilantin level.
  3. Decrease fluids.
  4. Encourage the patient to drink.
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157. You are caring for a postpartum mother who is in hypovalemic shock from hemorrhage. What would you expect to be the priority for this patient?
  1. Oxygen at 3 to 4 liters
  2. Oxytocic drug via IV
  3. Heart rate every 5 minutes
  4. Increase IV fluid rate
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158. What would the nurse do to prevent a woman who had a cesarean birth from having early postpartum hemorrhage?
  1. IV fluids at 125 mL/hr
  2. Assess uterus every 15 minutes
  3. Abdominal dressing for drainage
  4. Monitor urinary output
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159. You are caring for a patient who has been taking methylergonovine maleate (Methergine) for postpartum hemorrhage. It is not helping to control the hemorrhage. What procedure will most likely be ordered for this patient?
  1. Dilatation and curettage
  2. Laparotomy
  3. Hysterotomy
  4. Hysterectomy
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160. You are caring for a patient who has been stung by a bee. The patient has dyspnea, pruritis and localized swelling on the arm where he was stung. What would your priority intervention be for this patient?
  1. Remove the stinger.
  2. Place blankets over the patient.
  3. Listen for stridor and check the patient’s tongue for swelling.
  4. Put the patient in the Trendelenburg position.
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