NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Mary Jane is 7-year-old girl who was admitted with asthma exacerbation. Admission vital signs include a HR of 120 bpm, RR 34, breathing was wheezy on auscultation, Temp 99.5°F.
Question 1 of 5
Based on the admission assessment, the nurse will expect which drug will be ordered on the patient ASAP?
Correct Answer: B
Rationale: Ventolin (albuterol) is a bronchodilator, the first-line treatment for asthma exacerbation.
Extract:
Question 2 of 5
A 55-year-old woman is recovering from a bowel resection. She is receiving epidural analgesia. She lived by herself right up until admission and has no cognitive deficits. All of the following interventions will reduce the risk of client falls. Which would be most appropriate for this client?
Correct Answer: C
Rationale: Keeping the bed low and call bell accessible promotes safety and independence, most appropriate for a cognitively intact client.
Question 3 of 5
A client is experiencing hallucinations that are markedly increased at night. The client is very frightened by the hallucinations. The client's partner asked to stay a few hours beyond the visiting time, in the client's private room. What would be the best response by the nurse demonstrating emotional support for the client?
Correct Answer: C
Rationale: Yes, staying with the client and orienting her to her surroundings may decrease her anxiety. The partner's presence can reduce anxiety and confusion.
Question 4 of 5
The physician orders phenytoin (Dilantin) and phenobarbital for a client admitted with a cerebrovascular accident. The nurse knows that these drugs are administered for what purpose?
Correct Answer: A
Rationale: Phenytoin and phenobarbital are anticonvulsants used to prevent seizures, a common complication post-cerebrovascular accident. They do not promote sleep, prevent clots, or stop bleeding.
Question 5 of 5
A postpartum client requires teaching about breast-feeding. To prevent breast engorgement, the nurse should instruct her to:
Correct Answer: C
Rationale: Frequent breast-feeding empties the breasts and increases circulation, helping to remove fluid that may lead to engorgement. If the infant isn't ill or physically impaired and can breast-feed, the client shouldn't use an electric breast pump because this deprives the infant of optimal sucking and skin-to-skin contact with the mother. Applying warm, moist compresses stimulates the let-down reflex and causes the breasts to fill, which may lead to engorgement. A brassiere supports the breasts but doesn't prevent engorgement.