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 caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse prioritize?

Correct Answer: B

Rationale: Ensuring the endotracheal tube is secure prevents accidental extubation, maintaining airway and ventilation. ABGs (
A), sedatives (
C), and settings (
D) are important but secondary to airway security.

Extract:

A patient is admitted to the hospital with leukemia. The doctor ordered chemotherapy twice a month.


Question 2 of 5

How do you prevent the side effects of chemotherapy?

Correct Answer: A

Rationale: Increasing fluid intake helps flush chemotherapy drugs, reducing toxicity and side effects.

Extract:

Mary Jane is 7-year-old girl who was admitted with asthma exacerbation. Admission vital signs include a HR of 120 bpm, RR 34, breathing was wheezy on auscultation, Temp 99.5°F.


Question 3 of 5

Based on the admission assessment, the nurse will expect which drug will be ordered on the patient ASAP?

Correct Answer: B

Rationale: Ventolin (albuterol) is a bronchodilator, the first-line treatment for asthma exacerbation.

Extract:


Question 4 of 5

A client complained of nausea, a metallic taste in her mouth, and fine hand tremors 2 hours after her first dose of lithium carbonate (Lithane). What is the nurse's best explanation of these findings?

Correct Answer: A

Rationale: These side effects are common and should subside in a few days. Nausea, metallic taste, and fine hand tremors are common side effects that usually subside quickly.

Extract:

Mr. Smith is 67-year-old black male brought to the hospital by his wife, who stated that he fell down 20 minutes ago and has been unable to speak or move his right side since then. Mr. Smith has no significant past medical history. On exam, Mr. Smith is conscious, very anxious, his speech is garbed and unintelligible, he has a left facial droop, and he is completely right hemiphlegic.


Question 5 of 5

The most likely etiology for his symptoms is:

Correct Answer: A

Rationale: Mr. Smith has all the classic symptoms of a stroke or cerebrovascular accident (CV
A). Although he had a fall, traumatic brain injury is less likely given he maintained consciousness.

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