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

Questions 227

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NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:

A 6-year-old boy with HIV and fever is being admitted to the unit.


Question 1 of 5

The nurse making the room assignment would place the child in a room with:

Correct Answer: A

Rationale: This is the safest room assignment for a child with HIV and a fever. A child with HIV should not be placed with anyone infectious (croup, diarrhea) or with a bacterial infection (glomerulonephritis) due to the fever.

Extract:


Question 2 of 5

The nurse is caring for a client who is prescribed cholestyramine (Questran). Which comment by the client is of most concern to the nurse?

Correct Answer: B

Rationale: Muscle fatigue may indicate myopathy, a rare but serious side effect of cholestyramine, requiring immediate evaluation. Grapefruit, weight loss, and bruising are not directly related to cholestyramine risks.

Question 3 of 5

The nurse is caring for a client with a chest tube connected to a water-seal drainage system. The nurse observes continuous bubbling in the water-seal chamber. The nurse should

Correct Answer: A

Rationale: Continuous bubbling in the water-seal chamber indicates an air leak in the system (e.g., loose connections or lung leak), requiring assessment to locate and correct it. Increasing suction (
B) won’t fix the leak, clamping (
C) is dangerous, and notifying the physician (
D) follows assessment.

Extract:

In a cardiovascular emergency, which arteries should you palpate to assess the patient's pulse?


Question 4 of 5

In a cardiovascular emergency, which arteries should you palpate to assess the patient's pulse?

Correct Answer: D

Rationale: Carotid and femoral arteries provide reliable pulses in emergencies, reflecting central circulation.

Extract:


Question 5 of 5

A 15-month-old child with Hirschsprung's disease comes for a checkup. The mother reports all of the following. Which indicates a need for more instruction?

Correct Answer: A

Rationale: Limiting physical activity is unnecessary and may hinder development in Hirschsprung's disease; enemas, low-residue diet, and stool softeners are appropriate for managing constipation.

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