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.

Question 2 of 5

A 6-week-old infant is admitted with suspected pyloric stenosis. Which finding is characteristic of the infant with pyloric stenosis?

Correct Answer: B

Rationale: Pyloric stenosis presents with a palpable, olive-shaped mass in the epigastrium due to pyloric muscle hypertrophy. Colicky pain is nonspecific, currant jelly stools suggest intussusception, and grain intolerance indicates celiac disease.

Extract:

Which of the following conditions indicate adrenal insufficiency in a critically ill patient?


Question 3 of 5

Hypoglycemia and hyperkalemia.

Correct Answer: A

Rationale: Due to decreased cortisol (anti-insulin) and decreased aldosterone (sodium) levels in Addison's disease, the patient experiences hypoglycemia and hyperkalemia.

Extract:

To assess the effectiveness of a vasodilator administered to lower hypertension


Question 4 of 5

The nurse should take the client's pulse and blood pressure:

Correct Answer: B

Rationale: Checking 30 minutes post-administration assesses the drug's peak effect on blood pressure.

Extract:


Question 5 of 5

Order: 2000 mL D5W IV infused in six hours. The drop factor is 15 gtt/mL. Calculate the flow rate in gtt/min.

Correct Answer: C

Rationale: 2000 mL ÷ 6 hours = 333.33 mL/h. (333.33 mL/h ÷ 60 min) × 15 gtt/mL = 83.33 gtt/min, rounded to 83 gtt/min. Other options are incorrect.

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