Welcome to our NCLEX-RN Daily Ten Practice! This practice is designed to help you solidify your knowledge, improve your skills, and prepare thoroughly for the NCLEX-RN exam. With ten questions to tackle each day, you’ll have the opportunity to review a broad range of subjects covered in the NCLEX-RN exam.
1. A 29-year-old female client, who is a professional dancer, presents to the emergency department after a performance complaining of severe lower abdominal pain, fever, and an unusual vaginal discharge. She mentions that she had similar symptoms two months ago and was treated in an urgent care clinic. She also reports having multiple sexual partners in the past year and inconsistent condom use. Given the clinical presentation and her history, which of the following infections is most frequently associated with a recurrence of pelvic inflammatory disease (PID)?
2. An experienced registered nurse, specialized in spinal rehabilitation, is floated to the busy emergency department for a shift. The emergency department is currently short-staffed, and there’s a power outage in the adjacent building, causing a surge of patients. Among the patients waiting, which client should the charge nurse most appropriately assign to this RN, keeping in mind her expertise and the current situation?
3. A 60-year-old male client is admitted to the cardiology ward following an angioplasty for coronary artery disease. Nutrition education is a part of his discharge planning. What dietary advice should the nurse prioritize?
4. A 45-year-old patient in the intensive care unit, who was recently involved in a severe car accident, has multiple fractures and internal injuries. The patient has a history of chronic back pain and has been on long-term opioid therapy. The patient is currently on a pump set to deliver a basal rate of 10 ml per hour of morphine plus PRN doses for breakthrough pain. The nurse also notes that the patient has been frequently pressing the PRN button for additional relief. Given this scenario, which observation indicates that the pump may not be functioning correctly?
5. During a community meeting on health promotion in a small town with a significant elderly population, the nurse is approached by a group of senior citizens. They express concerns about their chronic back pain and have heard about alternative treatments. One of them asks about the effectiveness of chiropractic treatments for their age group and associated ailments. Considering the demographic and the context, in responding, what should be the focus of the nurse’s answer?