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 preparing a 5 year-old for a scheduled tonsillectomy and adenoidectomy. The parents are anxious and concerned about the child's reaction to impending surgery. Which nursing intervention would best prepare the child?

Correct Answer: B

Rationale: Explain the surgery 1 week prior to the procedure. This allows the child time to process and understand the upcoming surgery.

Question 2 of 5

A nurse is screening patients for various vaccines. Which of the following vaccines is contraindicated during pregnancy?

Correct Answer: C

Rationale: Mumps and Rubella are contraindicated during pregnancy.

Question 3 of 5

A six-month-old client with a ventricular septal defect is receiving Lanoxin elixir for regulation of his heart rate. Which finding should be reported to the doctor?

Correct Answer: C

Rationale: A heart rate of 60 in the six-month-old receiving Lanoxin elixir (digoxin) should be reported immediately because bradycardia is associated with digoxin toxicity. The blood glucose, blood pressure, and respirations are not associated with administration of Lanoxin, so answers A, B, and D are incorrect.

Extract:

On admission, the nurse gave the client a dose of epinephrine.


Question 4 of 5

The client is having typical side effects from epinephrine when the nurse observes that he is:

Correct Answer: C

Rationale: Increased blood pressure and tachycardia are typical effects of epinephrine due to its sympathomimetic action.

Extract:

At term, Ms. Star is admitted to the hospital in active labor which progresses normally. She delivers a baby boy. A few hours after Ms. Star's delivery, the nurse notes that Ms. Star has saturated two perineal pads with blood within a 20-minute period.


Question 5 of 5

Which of the following actions should the nurse takes first?

Correct Answer: A

Rationale: A boggy uterus is a common cause of postpartum hemorrhage, making fundus assessment the first action.

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