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:

The mother of the child with Leukemia asks the nurse about the life span of the RBC.


Question 1 of 5

The correct response is:

Correct Answer: D

Rationale: Red blood cells have a lifespan of approximately 120 days.

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 2 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:


Question 3 of 5

An adult is admitted to a detoxification unit for withdrawal from alcohol. Which medication does the nurse expect will be ordered for the client upon admission?

Correct Answer: A

Rationale: Thiamin (vitamin B1) prevents Wernicke's encephalopathy, a common complication in alcohol withdrawal due to deficiency.

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.

Extract:

You are asked to see Mr. J, a 45-year-old male admitted to the medical floor. He has a temperature of 103°F, complains of urgency, frequency, and perineal pain. He states his urine is somewhat cloudy in appearance. Mr. K denies any trauma to the genital area. On physical assessment, Mr. J appears acutely ill, flank tenderness is negative to percussion, abdominal assessment is unrevealing. Rectal exam reveals a tender prostate.


Question 5 of 5

You anticipate all of the following to be ordered except:

Correct Answer: D

Rationale: The patient's symptoms are suggestive of prostatitis, likely infectious. PSA is not typically ordered in acute infection as it is more relevant for prostate cancer screening.

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