NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

A nurse is administering heparin subcutaneously to a patient. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Heparin is injected into the abdomen for consistent absorption, avoiding muscle tissue. Aspiration risks bleeding, massaging causes bruising, and a shorter needle (e.g., 5/8 inch) is used.

Extract:

John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.


Question 2 of 5

Important patient teaching on chest tube due to pneumothorax will include

Correct Answer: A

Rationale: Intermittent bubbling is normal in pneumothorax, indicating air evacuation.

Extract:

Lynn Tyrell 60 years old is attending the group therapy when all of a sudden she collapses


Question 3 of 5

The nurse

Correct Answer: C

Rationale: Checking for unresponsiveness is the first step in the CPR protocol to determine the need for intervention.

Extract:


Question 4 of 5

A patient with schizophrenia is prescribed risperidone (Risperdal). Which of the following side effects should the nurse monitor for?

Correct Answer: C

Rationale: Risperidone, an antipsychotic, commonly causes extrapyramidal symptoms (e.g., tremors, rigidity), requiring monitoring. Weight gain, not loss, is typical, and hyperactivity or insomnia are less common.

Extract:

Following a head injury a patient develops a deficiency in anti diuretic hormone (ADH).


Question 5 of 5

Normally secretion of ADH

Correct Answer: A

Rationale: Reabsorption of sodium and water in the tubules decreases urinary output and retains body fluids, preventing diuresis.

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