NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 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.
Question 2 of 5
The nursing assistant reports that a client who is on a high-protein diet is eating only the fruits and vegetables on the meal tray. The nurse notes that the client is from the country of India. The nurse talks with the client. Which response by the nurse is likely to do most to help the client meet nutritional needs?
Correct Answer: A
Rationale: Offering a vegetarian diet respects cultural preferences common in India, increasing adherence to nutritional needs. Asking about taste, favorite foods, or emphasizing the diet's importance is less effective.
Question 3 of 5
The nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse prioritize?
Correct Answer: B
Rationale: Ensuring the endotracheal tube is secure prevents accidental extubation, maintaining airway and ventilation. ABGs (
A), sedatives (
C), and settings (
D) are important but secondary to airway security.
Extract:
A teen-ager was diagnosed with iron-deficiency anemia.
Question 4 of 5
Appropriate diagnostic test would be:
Correct Answer: D
Rationale: A complete blood count (CB
C) assesses hemoglobin, hematocrit, and other parameters for anemia.
Extract:
Question 5 of 5
Which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours after the procedure?
Correct Answer: B
Rationale: Thrombus formation in the coronary arteries is a potential problem in the initial 24 hours after a cardiac catheterization. A falling BP occurs along with hemorrhage of the insertion site which is within the first 12 hours after the procedure.