NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client is scheduled for an excretory urography at 10 a.m. An order states to insert a saline lock I.V. device at 9:30 a.m.. The client requests a local anesthetic for the I.V. procedure and the physician orders lidocaine-prilocaine cream (EMLA cream). The nurse should apply the cream at:
Correct Answer: A
Rationale: It takes up to 2 hours for lidocaine-prilocaine cream (EMLA cream) to reach its maximum effectiveness.
Therefore, if the cannulation is scheduled for 9:30 a.m., EMLA cream should be applied at 7:30 a.m. Applying EMLA at 6:30 a.m. is too early. The other time options are too late for the local anesthetic to be effective.
Question 2 of 5
A cooling blanket has been ordered for an adult who has a head injury and is running high fevers. The client starts shivering. What action is most appropriate for the LPN?
Correct Answer: B
Rationale: Shivering indicates the cooling blanket may be too cold, risking complications; reporting to the charge nurse ensures proper adjustment.
Extract:
Francis went into diabetic coma.
Question 3 of 5
The nurse may observe which one as typical manifestation(s) of ketoacidosis:
Correct Answer: B
Rationale: Deep, rapid respirations are the body's effort to get rid of excess acid through breathing, a hallmark of ketoacidosis.
Extract:
The nurse is conducting an intake interview with a new patient.
Question 4 of 5
Which of the following statements by the nurse reflects assessment on spiritual beliefs?
Correct Answer: A
Rationale: Describing faith provides a broader, more open-ended assessment of spiritual beliefs.
Extract:
Question 5 of 5
A nurse is caring for a patient with a chest tube. Which of the following findings should be reported immediately?
Correct Answer: A
Rationale: Continuous bubbling in the water seal chamber indicates an air leak, a serious complication requiring immediate reporting. Tidaling is normal, 50 mL/h drainage is expected, and occasional suction bubbling is normal.