NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is assessing a client with a suspected urinary tract infection (UTI). Which of the following symptoms would the nurse expect to find?
Correct Answer: A
Rationale: Burning on urination (dysuria) is a hallmark symptom of a UTI due to bladder mucosal irritation. Flank pain (
B) suggests kidney stones or pyelonephritis, vomiting/diarrhea (
C) indicate gastroenteritis, and chest pain (
D) is unrelated.
Question 2 of 5
The nurse is preparing to administer digoxin (Lanoxin) 0.25 mg IV to a client with congestive heart failure. Before administering the medication, the nurse should
Correct Answer: A
Rationale: Digoxin can cause bradycardia, so checking the apical pulse (holding if <60 bpm) is critical to prevent toxicity. Verifying the dose (
B) is good practice but secondary, administering over 5 minutes (
C) is correct but not pre-administration, and digoxin levels (
D) are checked periodically, not before each dose.
Question 3 of 5
The nurse has an order for 75 mg of Demerol (meperidine) and 50 mg of Phenergan (promethazine) to be given to a post-operative client. The nurse should:
Correct Answer: B
Rationale: Drawing medications separately and using different sites prevents incompatibility reactions. Combining in one syringe risks precipitation, the medications are synergistic, and dorsogluteal/deltoid sites are less preferred.
Question 4 of 5
The nurse is caring for a client after a motor vehicle accident. The client has a fractured tibia, and bone is noted protruding through the skin. Which action is of priority?
Correct Answer: B
Rationale: The client has an open fracture. The priority would be to cover the wound and prevent further contamination. Manual traction should not be attempted, so answer A is incorrect. Swelling usually occurs with a fracture, making answer C an incorrect option. Changing the client to the prone position would cause excessive movement and is inappropriate, so Answer D is incorrect.
Extract:
The nurse is aware that discharge planning related to care of a child with Duchenne's muscular dystrophy
Question 5 of 5
The nurse is aware that discharge planning related to care of a child with Duchenne's muscular dystrophy should include teaching the parents about:
Correct Answer: A
Rationale: Range of motion exercises maintain mobility and prevent contractures in Duchenne's muscular dystrophy.