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 caring for a client with peripheral arterial insufficiency of the lower extremities. Which intervention should be included in the plan of care to reduce leg pain?

Correct Answer: D

Rationale: Ischemic pain is relieved by placing feet in a dependent position. This position improves peripheral perfusion.

Question 2 of 5

A nurse is caring for a patient who refuses a blood transfusion due to religious beliefs. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Respecting the patient’s decision upholds autonomy and ethical practice. Administering or persuading against beliefs violates rights, and ignoring wishes dismisses patient-centered care.

Question 3 of 5

The nurse has an order for 75 mg of Demerol (meperidine) and 50 mg of Phenergan (promethazine) to be given to a post-operative client. The nurse should:

Correct Answer: B

Rationale: Drawing medications separately and using different sites prevents incompatibility reactions. Combining in one syringe risks precipitation, the medications are synergistic, and dorsogluteal/deltoid sites are less preferred.

Question 4 of 5

While planning care for a preschool aged child, the nurse takes developmental needs into consideration. Which of the following would be of the most concern to the nurse?

Correct Answer: B

Rationale: Expressing shame. Preschoolers should show initiative, having resolved shame and doubt in the toddler stage.

Question 5 of 5

The nurse is caring for a client with a chest tube connected to a water-seal drainage system. The nurse observes continuous bubbling in the water-seal chamber. The nurse should

Correct Answer: A

Rationale: Continuous bubbling in the water-seal chamber indicates an air leak in the system (e.g., loose connections or lung leak), requiring assessment to locate and correct it. Increasing suction (
B) won’t fix the leak, clamping (
C) is dangerous, and notifying the physician (
D) follows assessment.

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