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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Free Practice Questions Questions

Extract:

Ms. Cox is an adult patient who was prescribed depo-provera.


Question 1 of 5

The drug was prescribed for which of the following?

Correct Answer: A

Rationale: Depo-Provera is a contraceptive administered IM every 3 months.

Extract:


Question 2 of 5

The nurse is preparing to boost a client up in bed. She instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?

Correct Answer: D

Rationale: Using a trapeze reduces shearing forces (opposing forces that cause layers of skin to move over each other, stretching and tearing capillaries and, eventually, resulting in necrosis), which increase the risk of pressure ulcer development. They can occur as clients slide down in bed or when they're pulled up in bed.
To reduce shearing forces, the nurse should instruct the client to use an overbed trapeze, place a draw sheet under the client to move the client up in bed, and keep the head of the bed no higher than 30 degrees. The risks of friction, impaired circulation, and localized pressure aren't decreased with trapeze use.

Question 3 of 5

A client is scheduled for surgery under general anesthesia. The night before surgery, the client tells the nurse, 'I can't wait to have breakfast tomorrow.' Based on this statement, the nurse should formulate which nursing diagnosis?

Correct Answer: A

Rationale: The client's statement reveals a Deficient knowledge related to food restrictions associated with general anesthesia. The other options may be applicable but aren't related to the client's statement.

Question 4 of 5

The client is admitted to the hospital with a hypertensive crisis. Diazoxide (Hyperstat) is ordered. During administration the nurse should:

Correct Answer: B

Rationale: Hyperstat is given IV push for hypertensive crisis. It often causes hyperglycemia. The glucose level will drop rapidly after the medication is administered. Answer A is incorrect because this medication is given IV push. The client should be placed in dorsal recumbent position, not Trendelenburg, so answer C is incorrect. Answer D is incorrect because the medication is ordered IV push.

Question 5 of 5

The nurse is assessing a client with suspected pneumonia. Which of the following findings would support this diagnosis?

Correct Answer: B

Rationale: A productive cough with green sputum indicates a bacterial infection, common in pneumonia. Clear nasal discharge (
A) suggests a viral infection, abdominal pain (
C) is nonspecific, and a dry cough (
D) is less typical for bacterial pneumonia.

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