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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

A nurse is preparing to administer an intramuscular injection. Which of the following sites is most appropriate for an adult patient?

Correct Answer: D

Rationale: The ventrogluteal site is safest for IM injections in adults, minimizing nerve or vessel damage. Deltoid and vastus lateralis are alternatives but less preferred, and dorsogluteal is avoided due to sciatic nerve risk.

Question 2 of 5

Which client is at highest risk for developing a pressure ulcer?

Correct Answer: C

Rationale: 75 year-old with left sided paresthesia who is incontinent of urine and stool. Risk factors for pressure ulcers include: immobility, absence of sensation, decreased LOC, poor nutrition and hydration, skin moisture, incontinence, increased age, decreased immune response. This client has the greatest number of risk factors.

Extract:

The nurse should recognize that further teaching is needed when a patient with glaucoma states, 'it would be dangerous for me to:


Question 3 of 5

The nurse should recognize that further teaching is needed when a patient with glaucoma states, 'it would be dangerous for me to:

Correct Answer: C

Rationale: Atropine increases intraocular pressure, worsening glaucoma, indicating correct understanding.

Extract:

A patient with a diagnosis of bipolar disorder has been drinking copious amounts of water and voiding frequently. The patient is experiencing muscle cramps, twitching, and is reporting dizziness.


Question 4 of 5

The nurse checks lab work for

Correct Answer: B

Rationale: Symptoms suggest hyponatremia from excessive water intake, requiring electrolyte assessment.

Extract:


Question 5 of 5

When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?

Correct Answer: C

Rationale: The maximum flow rate for a nasal cannula is 6 liters/minute to avoid drying nasal passages and discomfort. Higher rates require a mask. Reduction of Risk Potential

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