NCLEX Questions, NCLEX PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 164

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NCLEX-PN Test Bank

NCLEX PN Practice Questions Questions

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Question 1 of 5

An 8-month-old infant is scheduled for balloon angioplasty of a congenital pulmonic stenosis in the cardiac catheterization laboratory. Which finding could possibly delay the procedure and should be reported?

Correct Answer: D

Rationale: Severe diaper rash may increase infection risk during catheterization, potentially delaying the procedure.

Question 2 of 5

An 8-month-old infant is scheduled for balloon angioplasty of a congenital pulmonic stenosis in the cardiac catheterization laboratory. Which finding could possibly delay the procedure and should be reported?

Correct Answer: D

Rationale: Severe diaper rash may increase infection risk during catheterization, potentially delaying the procedure.

Question 3 of 5

The nurse is caring for a client on mechanical ventilation. When performing endotracheal suctioning, the nurse will avoid hypoxia by

Correct Answer: C

Rationale: Administer supplemental 100% oxygen through the mechanical ventilator or manual resuscitation bag for 1 to 2 minutes before, after and between suctioning passes to prevent hypoxemia.

Question 4 of 5

A client with an implantable cardioverter defibrillator (ICD) develops ventricular tachycardia (VT) with a pulse while admitted to the medical-surgical unit. The ICD fires multiple times without successfully stopping the VT, causing the client to become confused and difficult to rouse. Which action by the nurse is appropriate?

Correct Answer: D

Rationale: Persistent VT causing altered mental status requires synchronized cardioversion to restore normal rhythm.

Question 5 of 5

Which of the following drug administrations should be reported as a practice error? Select all that apply.

Correct Answer: A,E

Rationale: Cephalexin in a penicillin-allergic client risks anaphylaxis, and warfarin in pregnancy can cause fetal harm. Pruritus and flushing are expected side effects, and the ventrogluteal site is appropriate.

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