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 notes all of the following. Which situation needs immediate attention?

Correct Answer: C

Rationale: A water spill near an ambulatory client's bed poses an immediate fall risk, requiring prompt attention. Linen, dishes, or bed height are less urgent.

Question 2 of 5

The nurse is administering iron by the $\mathrm{Z}$ track method. Which technique would the nurse utilize to prevent tracking of the medication?

Correct Answer: D

Rationale: The $0.2 \mathrm{ml}$ of air that would be administered after the medication with an intramuscular injection would allow the medication to be dispersed into the muscle. In the answer A, the muscle is small. Answer C is an incorrect procedure, and answer B doesn't help with prevention of tracking.

Question 3 of 5

A cooling blanket has been ordered for an adult who has a head injury and is running high fevers. The client starts shivering. What action is most appropriate for the LPN?

Correct Answer: B

Rationale: Shivering indicates the cooling blanket may be too cold, risking complications; reporting to the charge nurse ensures proper adjustment.

Question 4 of 5

A client who sustained an L1 to L2 spinal cord injury in a construction accident asks a nurse if he'll ever be able to walk again. Which response by the nurse is appropriate?

Correct Answer: C

Rationale: The nurse should respond by asking the client what he's already been told about his ability to walk again. After assessing the client's knowledge, she can better respond to the client's questioning. Option 1 provides the client with false hope, and option 2 may place the client on the defensive. Option 4 is an inappropriate response.

Extract:

A child comes to the hospital after exposure to diphtheria and is given antitoxin.


Question 5 of 5

This type of immunity is known as:

Correct Answer: D

Rationale: In passive artificial immunity, an antibody made in another organism is injected into the infected or presumed infected person to provide immediate immunity.

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