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:

The nurse assesses a patient's IV site and finds that it is red, hot, and tender to touch.


Question 1 of 5

The most appropriate first action is:

Correct Answer: A

Rationale: Signs of phlebitis or infection require stopping the infusion and removing the IV to prevent complications.

Extract:


Question 2 of 5

When teaching a client with coronary artery disease about nutrition, the nurse should emphasize

Correct Answer: C

Rationale: avoiding very heavy meals. Eating large, heavy meals can pull blood away from the heart for digestion, which is dangerous for the client with coronary artery disease.

Question 3 of 5

A 14-year-old girl is brought to the emergency room because she is difficult to arouse. She is 5 feet, 8 inches tall and weighs 80 pounds. What additional findings would the nurse expect to be present?

Correct Answer: B

Rationale: Severe underweight (suggesting anorexia nervosa) often causes amenorrhea due to hormonal disruption. Tachycardia, wheezing, or acne are less specific.

Extract:

Which of the following predisposing factors causes anemia among young adults?


Question 4 of 5

Which of the following predisposing factors causes anemia among young adults?

Correct Answer: B

Rationale: Poor diet lacking iron-rich meat and vegetables can cause anemia.

Extract:


Question 5 of 5

A client with a history of seizures is prescribed phenytoin (Dilantin) 100 mg tid. The nurse should instruct the client to

Correct Answer: B

Rationale: Alcohol can lower phenytoin levels, increasing seizure risk, so avoidance is critical. Taking with meals (
A) is unnecessary, calcium (
C) is unrelated, and stopping for a rash (
D) requires physician consultation due to potential Stevens-Johnson syndrome.

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