NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
A patient is suspected of having thrombophlebitis of the left lower extremity.
Question 1 of 5
During the initial assessment the nurse should specifically observe the patient for:
Correct Answer: A
Rationale: Edema is a hallmark sign of thrombophlebitis due to venous obstruction.
Extract:
Question 2 of 5
The nurse is preparing to administer digoxin (Lanoxin) 0.25 mg IV to a client with congestive heart failure. Before administering the medication, the nurse should
Correct Answer: A
Rationale: Digoxin can cause bradycardia, so checking the apical pulse (holding if <60 bpm) is critical to prevent toxicity. Verifying the dose (
B) is good practice but secondary, administering over 5 minutes (
C) is correct but not pre-administration, and digoxin levels (
D) are checked periodically, not before each dose.
Extract:
A patient's chart indicates a history of hyperkalemia.
Question 3 of 5
Which of the following would you not expect to see with this patient if these conditions were acute?
Correct Answer: D
Rationale: Migraines are not typically associated with acute hyperkalemia, unlike the other symptoms.
Extract:
Question 4 of 5
Which of the following observations is most important when assessing a client's breathing?
Correct Answer: C
Rationale: Ensuring the presence and adequacy of breathing is critical to assess effective oxygenation. Pulse rate and position are secondary considerations. Physiological Adaptation
Question 5 of 5
The parents of a child with tetralogy of Fallot ask the nurse why it is called a cyanotic heart defect. The nurse responds that it is called a cyanotic heart defect because:
Correct Answer: C
Rationale: Tetralogy of Fallot causes right-to-left shunting, allowing deoxygenated blood to enter systemic circulation, leading to cyanosis, the hallmark of this defect.