NCLEX-PN Test #24 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 #24 flashcards as text
A nurse is caring for a client with a spinal cord injury at the T6 level who suddenly develops a severe headache, blurred vision, and a blood pressure of 220/130 mmHg. Which condition should the nurse suspect?
Answer: Autonomic dysreflexia
Autonomic dysreflexia is a life-threatening emergency that occurs in clients with spinal cord injuries at T6 or above, triggered by a noxious stimulus below the level of injury.
A 6-month-old infant is brought to the clinic for a well-child visit. Which developmental milestone should the nurse expect to observe?
Answer: Sitting with support and transferring objects between hands
At 6 months, infants typically sit with support, transfer objects between hands, babble, and roll from back to front.
A client with a history of alcohol use disorder is admitted with confusion, ataxia, and ophthalmoplegia. Which intervention should the nurse anticipate?
Answer: IV thiamine (vitamin B1) administration
Confusion, ataxia, and ophthalmoplegia are the classic triad of Wernicke's encephalopathy, which is treated with IV thiamine.
A nurse is teaching a client with gastroesophageal reflux disease (GERD) about lifestyle modifications. Which recommendation should be included?
Answer: Elevate the head of the bed 6 to 8 inches
Elevating the head of the bed uses gravity to prevent gastric acid from refluxing into the esophagus during sleep.
A client is being discharged after placement of a permanent pacemaker. Which instruction should the nurse include?
Answer: Count your pulse daily and report rates below the set pacemaker rate
Clients with pacemakers should monitor their pulse daily and report rates below the programmed pacemaker rate, as this may indicate pacemaker malfunction.
A nurse is assessing a newborn 12 hours after birth. Which finding should be reported to the provider?
Answer: Jaundice appearing within the first 24 hours of life
Jaundice appearing within the first 24 hours is pathological jaundice and requires immediate evaluation, as it may indicate hemolytic disease.