NCLEX Questions, NCLEX Practice Questions PN Questions, NCLEX-PN Questions, Nurselytic

Questions 176

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Practice Questions PN Questions

Extract:


Question 1 of 5

The nurse is preparing to administer a sodium polystyrene sulfonate retention enema. Which explanation by the nurse best describes the purpose of this type of enema?

Correct Answer: C

Rationale: Sodium polystyrene sulfonate (
C) removes excess potassium via the intestines, used in hyperkalemia. Other options describe unrelated procedures.

Question 2 of 5

The nurse should consider which of the following client reports as an indication of an allergic reaction?

Correct Answer: D

Rationale: Lip swelling (
D) indicates an allergic reaction to food. Broccoli/cabbage (
A) affects warfarin's efficacy, headaches (
B) are a side effect of nitroglycerin, and swelling (
C) is a side effect of felodipine.

Question 3 of 5

A man who had a right below-the-knee amputation is placed in the prone position for one hour three times a day. The nurse explains to the man that this is done to prevent which problem?

Correct Answer: C

Rationale: Prone positioning stretches hip flexors, preventing contractures post-amputation. It doesn't primarily address atelectasis, thrombophlebitis, or infection.

Question 4 of 5

While planning care for a 2 year-old hospitalized child, which situation would the nurse expect to most likely affect the behavior?

Correct Answer: B

Rationale: Separation from parents. Separation anxiety is the greatest stress for a toddler during hospitalization.

Extract:

Laboratory reference ranges
Glucose (fasting)
Infant – Within 24 hours after birth
≥40 mg/dL (2.2 mmol/L)


Question 5 of 5

The nurse is caring for assigned newborns. Which of the following newborns should the nurse check first?

Correct Answer: D

Rationale: A glucose level of 38 mg/dL with jitteriness (
D) indicates hypoglycemia, a critical condition requiring immediate intervention. Crackles (
A), asymmetric Moro reflex (
B), and respiratory rate of 52 (
C) are less urgent.

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