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NCLEX-PN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to?

Correct Answer: C

Rationale: The measurement and recording of vital signs may be delegated to UAP. This falls under the umbrella of routine task with stable clients. Other considerations for delegation of care to UAP would be: Who is capable and is the least expensive worker to do each task?

Question 2 of 5

A toddler is having a tonic-clonic seizure. What should the nurse do first?

Correct Answer: C

Rationale: During a seizure, the nurse's first priority is to protect the child from injury.
To prevent injury caused by uncontrolled movements, the nurse must remove objects from the child's surroundings and pad objects that can't be removed. Restraining the child or placing an object in the child's mouth during a seizure may cause injury. Once the seizure stops, the nurse should check for breathing and, if indicated, initiate rescue breathing.

Question 3 of 5

A nurse is assessing an elderly patient for signs of dehydration. Which of the following findings is most indicative of dehydration?

Correct Answer: A

Rationale: Dry mucous membranes are a classic sign of dehydration, reflecting fluid loss. Increased urine output, hypertension, and weight gain suggest fluid overload or other conditions, not dehydration.

Extract:

To assess the effectiveness of a vasodilator administered to lower hypertension


Question 4 of 5

The nurse should take the client's pulse and blood pressure:

Correct Answer: B

Rationale: Checking 30 minutes post-administration assesses the drug's peak effect on blood pressure.

Extract:

Which of the following statements made by the parents show good understanding about the infant's car safety tips?


Question 5 of 5

If my baby is over 15 pounds, she could use a seat belt.

Correct Answer: B

Rationale: A rear-facing car seat in the back seat is the safest for infants, per safety guidelines.

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The nurse is caring for a client with a history of chronic venous insufficiency. Which of the following interventions should the nurse prioritize?
When teaching an athletic teenage patient about nutritional intake, the nurse should explain that the carbohydrate food that would provide the quickest source of energy is:

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