NCLEX Questions, Free NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free NCLEX-PN Practice Questions Questions

Extract:


Question 1 of 5

Observation should be ordered for the client using hallucinogens because, hallucinogens

Correct Answer: B

Rationale: Hallucinogens cause altered perception, posing risks of harm due to impaired judgment, necessitating close observation. They do not typically cause respiratory depression or rapid dependence.

Question 2 of 5

The nurse is evaluating the growth and development of a toddler with AIDS. The nurse would anticipate finding that the child has

Correct Answer: D

Rationale: Delay in achievement of most developmental milestones. The majority of children with AIDS have neurological involvement, leading to developmental delays and potential loss of milestones.

Extract:

Cardiac output:


Question 3 of 5

Cardiac output:

Correct Answer: A

Rationale: Cardiac output is the volume of blood the left ventricle ejects per minute.

Extract:


Question 4 of 5

A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?

Correct Answer: B

Rationale: Morphine sulfate, a narcotic analgesic, causes central nervous system (CNS) and respiratory depression. In patients with head injuries, it is contraindicated because it masks signs of increased intracranial pressure (ICP), such as changes in level of consciousness, which are critical for monitoring neurological status. Promethazine is an antiemetic, docusate is a stool softener, and ranitidine prevents stress ulcers, none of which pose the same risk in this context.

Question 5 of 5

The RN delegates the task of taking vital signs of all the clients on the medical-surgical unit to an unlicensed assistive personnel (UAP). Specific written and verbal instructions are given to not take a post-mastectomy client's blood pressure on the left arm. Later as the RN is making rounds, the nurse finds the blood pressure cuff on that client's left arm. Which of these statements is most immediately accurate?

Correct Answer: D

Rationale: The UAP is responsible for carrying out the activity correctly once directions have been clearly communicated especially if given verbally and in writing.

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