NCLEX Questions, NCLEX-PN Free Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

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NCLEX-PN Free Practice Questions Questions

Extract:


Question 1 of 5

A 14-year-old girl is brought to the emergency room because she is difficult to arouse. She is 5 feet, 8 inches tall and weighs 80 pounds. What additional findings would the nurse expect to be present?

Correct Answer: B

Rationale: Severe underweight (suggesting anorexia nervosa) often causes amenorrhea due to hormonal disruption. Tachycardia, wheezing, or acne are less specific.

Extract:

A nurse finds the victim under the wreckage of a collapsed building. The individual is conscious, breathing satisfactorily, and lying on the back complaining of pain in the back and an inability to move the legs.


Question 2 of 5

The nurse should first:

Correct Answer: A

Rationale: Keeping the patient immobile and seeking help prevents further spinal cord injury.

Extract:

The nurse assesses a patient's IV site and finds that it is red, hot, and tender to touch.


Question 3 of 5

The most appropriate first action is:

Correct Answer: A

Rationale: Signs of phlebitis or infection require stopping the infusion and removing the IV to prevent complications.

Extract:


Question 4 of 5

The nurse is caring for several clients who will be undergoing diagnostic tests. Which client must the nurse ask about allergies to shellfish? An adult who is scheduled for:

Correct Answer: B

Rationale: Shellfish allergies may indicate iodine sensitivity, critical for contrast dye used in CT scans, unlike MRI, EEG, or sleep studies.

Question 5 of 5

One aspect of implementation related to drug therapy is:

Correct Answer: B

Rationale: Although documentation isn't a step in the nursing process, the nurse is legally required to document activities related to drug therapy, including the time of administration, the quantity, and the client's reaction. Developing a content outline, establishing outcome criteria, and setting realistic client goals are parts of planning rather than implementation.

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