NCLEX-PN Test #22 Flashcards
6 cards from real NCLEX practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 NCLEX-PN Test #22 flashcards as text
A nurse is caring for a client with a new colostomy. Which finding during assessment of the stoma requires the nurse to notify the provider?
Answer: Stoma is dark purple and cool to touch
A dark purple, cool stoma indicates compromised blood supply (ischemia) and requires immediate provider notification.
A client is being treated for major depressive disorder with sertraline (Zoloft). The client reports wanting to discontinue the medication because of feeling better. How should the nurse respond?
Answer: You should continue the medication as prescribed and discuss any changes with your provider
Antidepressants should not be stopped abruptly due to risk of discontinuation syndrome, and treatment decisions should be made with the provider.
A nurse is caring for a client with burns covering 35% of the total body surface area. During the first 24 hours, which finding should the nurse expect?
Answer: Significant fluid shift from intravascular to interstitial spaces
During the first 24-48 hours after a major burn, massive capillary permeability causes fluid to shift from the intravascular space into the interstitial space (third-spacing).
A client with chronic kidney disease (CKD) asks why phosphorus binders must be taken with meals. Which response by the nurse is most accurate?
Answer: They bind dietary phosphorus in the gut to prevent absorption into the bloodstream
Phosphorus binders must be taken with meals to bind dietary phosphorus in the gastrointestinal tract, preventing its absorption.
A nurse is caring for a client in sickle cell crisis. Which intervention is the highest priority?
Answer: Administering prescribed pain medication and IV fluids
Pain management and IV hydration are the priorities in sickle cell crisis to manage the severe pain and promote circulation to prevent further sickling.
A practical nurse is reinforcing discharge instructions for a client who had a thyroidectomy. Which instruction is most important to include?
Answer: Report any tingling or numbness around the mouth or fingertips immediately
Tingling and numbness around the mouth and fingertips (perioral and digital paresthesias) may indicate hypocalcemia from inadvertent parathyroid damage and require immediate reporting.