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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:

In a cardiovascular emergency, which arteries should you palpate to assess the patient's pulse?


Question 1 of 5

In a cardiovascular emergency, which arteries should you palpate to assess the patient's pulse?

Correct Answer: D

Rationale: Carotid and femoral arteries provide reliable pulses in emergencies, reflecting central circulation.

Extract:

A patient is suspected of having thrombophlebitis of the left lower extremity.


Question 2 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 3 of 5

The nurse is caring for a client with a history of depression who is prescribed fluoxetine (Prozac). The client reports feeling 'jittery' and restless. The nurse should

Correct Answer: C

Rationale: Jitteriness and restlessness are signs of akathisia, a side effect of fluoxetine, requiring physician notification for possible dose adjustment or additional medication. Lorazepam (
A) is inappropriate without orders, activity (
B) may worsen symptoms, and bedtime dosing (
D) doesn’t address the issue.

Question 4 of 5

The nurse is caring for a dark-skinned client hospitalized with hepatitis. The nurse can best observe the presence of jaundice in the client by assessing the client's:

Correct Answer: C

Rationale: The sclera is the most reliable site to assess jaundice in dark-skinned clients, as bilirubin deposition is visible in the whites of the eyes.

Extract:

A nurse assigned to the pediatric unit has the following patients.


Question 5 of 5

Which one should be given priority?

Correct Answer: B

Rationale: Altered consciousness in an infant is a critical sign requiring immediate assessment for neurological issues.

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