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

Questions 227

NCLEX-PN

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NCLEX-PN Practice Questions Quizlet Questions

Extract:

While working on his motor bike, a 19-year-old sustains a puncture wound from a rusty metal. He presents himself to the ER of local hospital. The puncture wound is cleansed with hydrogen peroxide and a sterile dressing applied. The client confirmed that he is up-to-date with his tetanus immunization. Antibiotic was prescribed and administered and the client was sent home with instructions to return if there is any change in the wound area. Three days following the ER visit, the client is admitted to the hospital with a diagnosis of tetanus.


Question 1 of 5

Nursing care for client includes:

Correct Answer: A

Rationale: The slightest stimulation sets off a wave of very severe and painful muscle spasms involving the whole body. Admitting the client to a private room minimizes stimuli and reduces the risk of spasms.

Extract:

The patient who was admitted with Emphysema was receiving oxygen at 6 L/min via nasal prong. At the beginning of the shift, during nurses' rounds, the patient was noted to be lethargic although arousable; skin is flushed and respirations were down to 8/minute.


Question 2 of 5

Priority nursing intervention would include:

Correct Answer: C

Rationale: In emphysema, high oxygen levels can suppress the respiratory drive, leading to hypoventilation. Reducing oxygen to 2 L/min is the priority to restore respiratory drive.

Extract:


Question 3 of 5

A nurse is caring for a patient who refuses a blood transfusion due to religious beliefs. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Respecting the patient’s decision upholds autonomy and ethical practice. Administering or persuading against beliefs violates rights, and ignoring wishes dismisses patient-centered care.

Question 4 of 5

The nurse is teaching a 27 year-old client with asthma about their therapeutic regime. Which statement would indicate the need for additional instruction?

Correct Answer: C

Rationale: I need to limit my exercise, especially activities such as walking and running.' Limiting physical activity in an otherwise healthy, young client should not be necessary. If exercise intolerance exists, the asthma management plan should include specific medications to treat the problem such as using an inhaled beta-agonist 5 minutes before exercise. The goal is always to return to a normal lifestyle.

Question 5 of 5

The nurse is caring for a client with a history of Parkinson’s disease who is prescribed levodopa-carbidopa (Sinemet). Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: High-protein meals can interfere with levodopa absorption, so avoiding them with doses improves efficacy. Taking on an empty stomach (
A) is ideal but not mandatory, vitamin B6 (
C) enhances metabolism (reducing effect), and stopping for dizziness (
D) requires physician consultation.

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