NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A nurse is teaching a patient about the use of an incentive spirometer. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Inhaling slowly and deeply through the mouthpiece maximizes lung expansion and prevents atelectasis. Forceful exhalation is incorrect, use is routine (not symptom-based), and holding breath is optional but not primary.
Question 2 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 3 of 5
A client is to have an epidural block to relieve labor pain. The nurse anticipates that the anesthesiologist will inject the anesthetic agent into the:
Correct Answer: C
Rationale: For an epidural block, the nurse should anticipate that the anesthesiologist will inject a local anesthetic agent into the epidural space, located between the dura mater and the ligamentum flavum in the lumbar region of the spinal column. When administering a spinal block, the anesthesiologist injects the anesthetic agent into the subarachnoid space. The ligamentum flavum and the area between the subarachnoid space and the dura mater are inappropriate injection sites.
Question 4 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.
Question 5 of 5
To obtain data for the nursing assessment, the nurse should:
Correct Answer: D
Rationale: The nurse's understanding of the client rests on the comprehensiveness of assessment data obtained by listening to the client's self revelation.