NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is assessing a newborn infant and observes low set ears, short palpebral fissures, flat nasal bridge and indistinct philtrum. A priority maternal assessment by the nurse should be to ask about
Correct Answer: A
Rationale: Alcohol use during pregnancy. This cluster of facial characteristics is often linked to fetal alcohol syndrome (FAS), which can cause lifelong developmental delays.
Question 2 of 5
The nurse is preparing to administer an injection of haloperidol decanoate (Haldol D). Which of the following actions by the nurse is MOST appropriate?
Correct Answer: B
Rationale: Haloperidol decanoate is highly irritating to subcutaneous tissue, requiring deep IM injection into a large muscle (e.g., gluteus) to ensure proper absorption and minimize tissue damage. Massaging (
A) risks irritation, a 25-gauge needle (
C) is too small, and dividing doses (
D) is incorrect.
Question 3 of 5
The nurse is reviewing a client's pre-op lab values. Which of the following lab results warrants immediate attention?
Correct Answer: A
Rationale: A prothrombin time of 1 minute and 20 seconds is significantly prolonged, indicating a bleeding risk that requires immediate attention before surgery.
Question 4 of 5
The nurse notes all of the following. Which situation needs immediate attention?
Correct Answer: C
Rationale: A water spill near an ambulatory client's bed poses an immediate fall risk, requiring prompt attention. Linen, dishes, or bed height are less urgent.
Question 5 of 5
A postpartum client requires teaching about breast-feeding. To prevent breast engorgement, the nurse should instruct her to:
Correct Answer: C
Rationale: Frequent breast-feeding empties the breasts and increases circulation, helping to remove fluid that may lead to engorgement. If the infant isn't ill or physically impaired and can breast-feed, the client shouldn't use an electric breast pump because this deprives the infant of optimal sucking and skin-to-skin contact with the mother. Applying warm, moist compresses stimulates the let-down reflex and causes the breasts to fill, which may lead to engorgement. A brassiere supports the breasts but doesn't prevent engorgement.