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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Free Practice Questions 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: The post-appendectomy patient is the least likely to pose an infectious risk to the immunocompromised child.

Extract:

Nitroglycerin SL is prescribed for anginal pain.


Question 2 of 5

When teaching how to use nitroglycerin, the nurse tells the client to place 1 tablet under the tongue when pain occurs and to repeat the dose in 5 minutes if pain persists. The nurse should also tell the client to

Correct Answer: D

Rationale: Anginal pain, which can be anticipated during certain activities, may be prevented by dilating the coronary arteries immediately before engaging in activity, and an additional tablet post-attack can prevent recurrence.

Extract:

A patient with history of asthma presented himself to the outpatient clinic due to feeling of tightness on his chest, audible wheezing and mild shortness of breath. Upon arrival at the clinic his peak flow was at 480 liters/minute but in an hour of arrival, his peak flow has dropped to 200 liters/minute.


Question 3 of 5

What should the nurse do first?

Correct Answer: B

Rationale: A significant drop in peak flow indicates worsening asthma. Administering albuterol inhalation is the first action to relieve bronchospasm.

Extract:


Question 4 of 5

A client is admitted to the hospital with a diagnosis of deep vein thrombosis. During the initial assessment, the client complains of sudden shortness of breath. The SaO2 is 87. The priority nursing assessment at this time is

Correct Answer: D

Rationale: Lung sounds are critical assessments at this point. The nurse should be alert to crackles or a pleural friction rub, highly suggestive of a pulmonary embolism.

Question 5 of 5

A nurse is caring for a patient with acute pancreatitis. Which of the following interventions should the nurse implement first?

Correct Answer: A

Rationale: Pain management is the priority in acute pancreatitis to reduce patient distress and pancreatic stimulation. NG tubes, fluids, and ambulation follow based on orders and condition.

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