NCLEX-PN Exam Questions - Part 127

1. A nurse assesses a 83 year-old females venous ulcer for the second time that is located near the right medial malleolus. The wound is exhibiting purulent drainage and the patient has limited mobility in her home. Which of the options is the best course of action?

A) Encourage warm water soaks to the right foot.
B) Notify the case manager of the purulent drainage.
C) Determine the patient - s pulse in the right ankle.
D) Recommend increased activity to reduce the purulent drainage.



2. Tricyclics (Antidepressants) sometimes have which of the following adverse affects on patients that have a diagnosis of depression?

A) Shortness of breath
B) Fainting
C) Large Intestine ulcers
D) Distal muscular weakness



3. A nurse is instructing a patient about the warning signs of (Digitalis) side effects. Which of the following side effects should the nurse tell the patient are sometimes associated with excessive levels of Digitalis?

A) Seizures
B) Muscle weakness
C) Depression
D) Anxiety



4. A nurse is assessing a patient - s right lower extremity. The extremity is warm to touch, red and swollen. The patient is also running a low fever. Which of the following conditions would be the most likely cause of the patient - s condition?

A) Herpes
B) Scleroderma
C) Dermatitis
D) Cellulitis



5. A nurse is assessing a patients breath sounds. The patient has had a pneumonectomy to the right lung performed 48 hours ago. Which of the following conditions most likely exists?

A) Decreased breath sound volume
B) Elevated tidal volume
C) Elevated respiratory capacity
D) Wheezing