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.
Question 2 of 5
The nurse is preparing to administer an injection of haloperidol decanoate (Haldol D). Which of the following actions by the nurse is MOST appropriate?
Correct Answer: B
Rationale: Haloperidol decanoate is highly irritating to subcutaneous tissue, requiring deep IM injection into a large muscle (e.g., gluteus) to ensure proper absorption and minimize tissue damage. Massaging (
A) risks irritation, a 25-gauge needle (
C) is too small, and dividing doses (
D) is incorrect.
Extract:
The patient who was admitted with Emphysema was receiving oxygen at 6 L/min via nasal prong. At the beginning of the shift, during nurses' rounds, the patient was noted to be lethargic although arousable; skin is flushed and respirations were down to 8/minute.
Question 3 of 5
Priority nursing intervention would include:
Correct Answer: C
Rationale: In emphysema, high oxygen levels can suppress the respiratory drive, leading to hypoventilation. Reducing oxygen to 2 L/min is the priority to restore respiratory drive.
Extract:
Question 4 of 5
The parents of a toddler ask the nurse how long their child will have to sit in a car seat while in the automobile. What is the nurse's best response to the parents?
Correct Answer: A
Rationale: Your child must use a car seat until he weighs at least 40 pounds.' Children should use car seats until they weigh 40 pounds.
Question 5 of 5
An older man is seen in the outpatient clinic for treatment of an acute attack of gout. Which of the following nursing interventions would be MOST beneficial in decreasing the client's pain during ambulation?
Correct Answer: B
Rationale: Partial weight bearing reduces pressure on the inflamed joint, alleviating gout pain during ambulation. Passive exercises (
A) may worsen pain, immobilization (
C) increases stiffness, and restricting walking (
D) does not directly relieve pain.