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 teaching a 27 year-old client with asthma about their therapeutic regime. Which statement would indicate the need for additional instruction?

Correct Answer: C

Rationale: I need to limit my exercise, especially activities such as walking and running.' Limiting physical activity in an otherwise healthy, young client should not be necessary. If exercise intolerance exists, the asthma management plan should include specific medications to treat the problem such as using an inhaled beta-agonist 5 minutes before exercise. The goal is always to return to a normal lifestyle.

Question 2 of 5

The nurse is preparing a five-year-old child for surgery. The nurse notes that the child's parents are divorced and have joint legal custody. The informed consent for surgery has been signed by the mother. Which of the following actions by the nurse is BEST?

Correct Answer: D

Rationale: Consent from either parent with joint legal custody is sufficient for surgical procedures. Since the mother has provided informed consent, no further action is needed, and the nurse should continue preoperative preparation. Notifying the physician or surgery, or contacting the father, is unnecessary.

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

A client complained of nausea, a metallic taste in her mouth, and fine hand tremors 2 hours after her first dose of lithium carbonate (Lithane). What is the nurse's best explanation of these findings?

Correct Answer: A

Rationale: These side effects are common and should subside in a few days. Nausea, metallic taste, and fine hand tremors are common side effects that usually subside quickly.

Question 5 of 5

A nurse is administering heparin subcutaneously to a patient. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Heparin is injected into the abdomen for consistent absorption, avoiding muscle tissue. Aspiration risks bleeding, massaging causes bruising, and a shorter needle (e.g., 5/8 inch) is used.

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