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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free PN NCLEX Practice Questions Questions

Extract:

John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.


Question 1 of 5

Appropriate patient teaching when the chest tube is removed:

Correct Answer: A

Rationale: Holding a deep breath during removal prevents air entry into the pleural space.

Extract:

Most asthmatic attacks respond to Epinephrine (Adrenalin)


Question 2 of 5

Most asthmatic attacks respond to Epinephrine (Adrenalin) and it may be used as a therapeutic agent in the treatment of some allergic conditions because it:

Correct Answer: C

Rationale: Epinephrine dilates bronchi, relieving bronchospasm in asthma and allergic reactions.

Extract:


Question 3 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 4 of 5

The nurse is caring for a client with a history of diverticulitis. Which of the following dietary recommendations should the nurse provide to prevent flare-ups?

Correct Answer: C

Rationale: A high-fiber diet promotes regular bowel movements and reduces pressure in the colon, preventing diverticulitis flare-ups. Nuts and seeds (
A) may irritate diverticula, a low-fiber diet (
B) worsens symptoms, and dairy restriction (
D) is unnecessary unless lactose intolerant.

Question 5 of 5

Right documentation includes the name, dosage, route, and time of administration. When should you sign your initials on the medication administration record?

Correct Answer: B

Rationale: Signing immediately after administration confirms the dose was given, ensuring accurate documentation. Signing before risks errors, and waiting an hour delays accuracy.

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