NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
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 1 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 2 of 5
The nurse enters a 2 year-old child's hospital room in order to administer an oral medication. When the child is asked if he is ready to take his medicine, he immediately says, 'No!'. What would be the most appropriate next action?
Correct Answer: A
Rationale: Leave the room and return five minutes later and give the medicine. Respecting the child's response builds trust, and a brief delay aligns with a toddler's sense of time.
Extract:
The best indication that a patient with diabetes mellitus is successfully managing the disease after discharge is a
Question 3 of 5
significant loss of body weight.
Correct Answer: B
Rationale: A combination of diet, exercise, and medication is necessary to control the disease; the interaction of these therapies is reflected by well-controlled serum glucose.
Extract:
Question 4 of 5
The nurse is administering iron by the $\mathrm{Z}$ track method. Which technique would the nurse utilize to prevent tracking of the medication?
Correct Answer: D
Rationale: The $0.2 \mathrm{ml}$ of air that would be administered after the medication with an intramuscular injection would allow the medication to be dispersed into the muscle. In the answer A, the muscle is small. Answer C is an incorrect procedure, and answer B doesn't help with prevention of tracking.
Question 5 of 5
Which finding, if present, should the nurse interpret to mean that dialysis has achieved the desired results?
Correct Answer: B
Rationale: A drop in blood pressure indicates successful fluid removal during dialysis, a primary goal. Weight gain, urine output, or normal glucose are not direct indicators of dialysis efficacy.