NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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

A client with polysubstance abuse has been admitted to the hospital for detoxification. Which of the following drugs represents the most serious life-threatening situation during the withdrawal period?

Correct Answer: B

Rationale: Secobarbital, a barbiturate, poses the most serious risk during withdrawal, as it can lead to life-threatening seizures and delirium. Methadone and heroin withdrawal are uncomfortable but less likely to be fatal, and cocaine withdrawal is primarily psychological.

Question 3 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.

Extract:

A patient was placed on a low sodium diet. The family asks if they can bring some snacks from home.


Question 4 of 5

The nurse suggests that they bring foods low in sodium such as:

Correct Answer: C

Rationale: Fresh oranges are naturally low in sodium, suitable for a low-sodium diet.

Extract:

A patient with cystic fibrosis has an order of aerosol treatment and physiotherapy.


Question 5 of 5

How will you carry out this order?

Correct Answer: B

Rationale: Aerosol treatment loosens secretions, followed by physiotherapy to clear them.

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