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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is caring for a client with a fractured femur who is in skeletal traction. Which of the following actions is MOST important for the nurse to perform?

Correct Answer: B

Rationale: Ensuring weights hang freely maintains proper traction alignment, preventing complications like malunion. Checking pin sites (
A) is important but secondary, ROM exercises (
C) are contraindicated in traction, and repositioning (
D) is limited to maintain traction.

Extract:

If a patient comes into facility with muscle weakness, where should you focus your physical assessment?


Question 2 of 5

If a patient comes into facility with muscle weakness, where should you focus your physical assessment?

Correct Answer: B

Rationale: Muscle strength assessment directly evaluates the extent and distribution of weakness.

Extract:


Question 3 of 5

A nurse is teaching a patient about the use of albuterol (Proventil) for asthma. Which of the following instructions should be included?

Correct Answer: D

Rationale: Albuterol, a rescue inhaler, is used before exercise to prevent exercise-induced bronchospasm. It’s not for daily prevention, symptom-only use, or bedtime dosing.

Extract:

On the day of surgery, the nurse noted the following laboratory results.


Question 4 of 5

Which one should be reported to the surgeon immediately?

Correct Answer: B

Rationale: Elevated WBC is a sign of infection, which requires immediate reporting to the surgeon to assess the need to postpone surgery.

Extract:


Question 5 of 5

The nurse administered an intramuscular injection to an adult. How should the nurse dispose of the needle and syringe?

Correct Answer: A

Rationale: Immediately placing the needle and syringe in a sharps container prevents needlestick injuries. Recapping or separating risks exposure, and cutting is unsafe.

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