NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A six-month-old client with a ventricular septal defect is receiving Lanoxin elixir for regulation of his heart rate. Which finding should be reported to the doctor?
Correct Answer: C
Rationale: A heart rate of 60 in the six-month-old receiving Lanoxin elixir (digoxin) should be reported immediately because bradycardia is associated with digoxin toxicity. The blood glucose, blood pressure, and respirations are not associated with administration of Lanoxin, so answers A, B, and D are incorrect.
Question 2 of 5
The LPN/LVN in a long-term care facility sees and hears a nursing assistant give a resident a hard slap. What initial action should the LPN/LVN take?
Correct Answer: B
Rationale: Reporting to the supervisor ensures immediate investigation of abuse, protecting the resident. Monitoring, writing reports, or police involvement are secondary.
Question 3 of 5
A woman is scheduled for cataract surgery and is to give herself eye drops at home before coming in for outpatient surgery. When teaching the client how to administer eye drops, the nurse should include which information?
Correct Answer: D
Rationale: Eye drops are placed in the conjunctival sac for proper absorption and to avoid corneal irritation, unlike pupil, iris, or sclera placement.
Question 4 of 5
A toddler is having a tonic-clonic seizure. What should the nurse do first?
Correct Answer: C
Rationale: During a seizure, the nurse's first priority is to protect the child from injury.
To prevent injury caused by uncontrolled movements, the nurse must remove objects from the child's surroundings and pad objects that can't be removed. Restraining the child or placing an object in the child's mouth during a seizure may cause injury. Once the seizure stops, the nurse should check for breathing and, if indicated, initiate rescue breathing.
Question 5 of 5
Which of the following neurological disorders is characterized by writhing, twisting movements of the face and limbs?
Correct Answer: D
Rationale: Huntington's chorea is characterized by choreiform movements, including writhing and twisting of the face and limbs, due to basal ganglia degeneration. The other disorders have different motor symptoms. Reduction of Risk Potential