NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client with skin grafts covering third-degree burns on the arms and legs. During dressing changes, the nurse should be sure to:
Correct Answer: B
Rationale: Wrapping elastic bandages on dependent areas limits edema formation and bleeding and promotes graft acceptance. The nurse should wrap the client's arms and legs from the distal to proximal ends and use strict sterile technique throughout the dressing change. Applying maximum bandages should be avoided because bulky dressings limit mobility; instead, the nurse should use enough bandages to absorb wound drainage. Sterile gloves are required throughout all phases of the dressing change to prevent contamination.
Extract:
Calculation of fluid replacement in bum is based on the patient's
Question 2 of 5
Age
Correct Answer: D
Rationale: Calculation of fluid replacement in burns is based on weight and body surface area (BS
A) burn, often using the rule of nines to calculate burn area.
Extract:
Question 3 of 5
The nurse has been assigned to four clients in the emergency room, each experiencing one of these conditions. Which client condition would the nurse check first?
Correct Answer: C
Rationale: Tension pneumothorax with slight tracheal deviation to the right. Tracheal deviation indicates a life-threatening condition with risk of cardiac tamponade.
Extract:
A client with tuberculosis has been receiving INH as part of the chemotherapeutic therapy protocol.
Question 4 of 5
During a subsequent clinic visit the nurse should recognize that prompt intervention is required when the client develops
Correct Answer: A
Rationale: Yellow sclera indicates jaundice, a sign of INH-induced hepatotoxicity requiring immediate intervention.
Extract:
Question 5 of 5
A client is to have an epidural block to relieve labor pain. The nurse anticipates that the anesthesiologist will inject the anesthetic agent into the:
Correct Answer: C
Rationale: For an epidural block, the nurse should anticipate that the anesthesiologist will inject a local anesthetic agent into the epidural space, located between the dura mater and the ligamentum flavum in the lumbar region of the spinal column. When administering a spinal block, the anesthesiologist injects the anesthetic agent into the subarachnoid space. The ligamentum flavum and the area between the subarachnoid space and the dura mater are inappropriate injection sites.