NCLEX Questions, PN NCLEX Practice Exam Questions, NCLEX-PN Questions, Nurselytic

Questions 164

NCLEX-PN

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Extract:


Question 1 of 5

The nurse has attended a staff education program about administering intramuscular injections. Which of the following statements by the nurse would indicate a correct understanding of the program?

Correct Answer: D

Rationale: Displacing subcutaneous tissue (
D) via the Z-track method prevents leakage and irritation. IM injections use a 90-degree angle (A is incorrect), waiting 3 seconds (
B) is not standard, and massaging (
C) is avoided for some medications.

Question 2 of 5

The charge nurse in a long-term memory care facility is making assignments for the Alzheimer unit. Which tasks may be delegated to experienced unlicensed assistive personnel? Select all that apply.

Correct Answer: A,D,E

Rationale: Bathing/hair care (
A), placing bed alarms (
D), and reporting swallowing issues (E) are within UAP scope. Evaluating hazards (
B) and monitoring behavior changes (
C) require nursing judgment.

Question 3 of 5

A gravida para 1 reports that a prior pregnancy ended in loss of the baby early in the pregnancy. Which of the following instructions should be given to the client?

Correct Answer: D

Rationale: Reporting nausea and vomiting is important, as severe symptoms could indicate complications like hyperemesis gravidarum, especially given the history of pregnancy loss.

Question 4 of 5

The nurse is reinforcing teaching about infant safety to a class of expectant parents. Which statement by a participant indicates a need for further instruction?

Correct Answer: D

Rationale: Placing a teddy bear in the crib (
D) increases suffocation risk, requiring further teaching. Pacifiers (
A), sleep sacks (
B), and firm mattresses (
C) are safe.

Question 5 of 5

The nurse is caring for a 12-month-old client who is HIV-positive and severely immunosuppressed. Which of the following scheduled immunizations should the nurse anticipate administering to the client? Select all that apply.

Correct Answer: A,D

Rationale: Hib (
A) and PCV (
D) are inactivated vaccines, safe for immunosuppressed children. MMR (
C) and varicella (E) are live vaccines, contraindicated. Hepatitis A (
B) is not routine at 12 months.

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