NCLEX Questions, NCLEX Trainer Test 10 Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 10 Questions

Extract:


Question 1 of 5

The nurse is caring for a client with a history of anxiety who is receiving lorazepam (Ativan) 0.5 mg PO tid. Which of the following findings should the nurse report immediately?

Correct Answer: C

Rationale: Dizziness upon standing suggests orthostatic hypotension, a serious lorazepam side effect. Options A, B, and D are common.

Question 2 of 5

The nurse is supervising a student nurse administer a tube feeding to a client via a Levin tube. Which of the following actions, if performed by the student nurse, indicates a proper understanding of the correct procedure?

Correct Answer: D

Rationale: minimizes intestinal cramping

Question 3 of 5

The nurse in a long-term care facility is reviewing the nurse's notes in a client's chart. The nurse would be MOST concerned by which of the following entries?

Correct Answer: B

Rationale: blanching or hyperemia that does not disappear in a short time is a warning sign of pressure ulcers

Question 4 of 5

The nurse is caring for a client who is receiving a continuous IV infusion of fentanyl for pain management. Which of the following findings should the nurse report immediately?

Correct Answer: A

Rationale: A respiratory rate of 10 breaths/min indicates respiratory depression, a serious fentanyl side effect. Options B, C, and D are normal findings.

Question 5 of 5

While a two-day-old infant is in surgery for repair of spina bifida, the infant's mother expresses concern to the nurse because the doctor told her the infant would be confined to a wheelchair. Which of the following statements, if made by the nurse, is BEST?

Correct Answer: D

Rationale: spinal nerves that are destroyed by the myelomeningocele cannot be corrected; nothing can return function to portions of the body that are innervated by the spinal nerves below the site of the myelomeningocele

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