NCLEX Questions, NCLEX Practice Test PN Questions, NCLEX-PN Questions, Nurselytic

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Practice Test PN Questions

Extract:


Question 1 of 5

The nurse on the telemetry unit is preparing client medications in the medication room. Which of the following actions should the nurse perform to be consistent with client safety practices related to medication administration? Select all that apply.

Correct Answer: A,B,D,E

Rationale: These actions align with safe medication administration practices: verifying the 'five rights' (
A), ensuring medication integrity (
B), checking relevant lab values for anticoagulants (
D), and using gloves to prevent absorption of transdermal medications (E).

Question 2 of 5

The nurse is caring for a hospitalized adult who is receiving a blood transfusion. Twenty minutes after the start of the transfusion, the client complains of feeling cold and is shivering. What is the best first action for the LPN to take?

Correct Answer: D

Rationale: Shivering and feeling cold during a transfusion suggest a possible transfusion reaction, requiring immediate cessation of the transfusion to prevent further complications, followed by vital signs and physician notification.

Extract:

Laboratory reference ranges
Glucose (fasting)
70-110 mg/dL
(3.9-6.1 mmol/L)


Question 3 of 5

The nurse is assisting with the care of four clients with diabetes mellitus. Which of the following prescriptions should the nurse clarify with the health care provider?

Correct Answer: D

Rationale: NPH insulin is not administered IV, as it is a suspension and can cause embolism or erratic absorption. This prescription requires clarification.

Extract:


Question 4 of 5

During an examination of a 2 year-old child with a tentative diagnosis of Wilm's tumor, the nurse would be most concerned about which statement by the mother?

Correct Answer: C

Rationale: All the pants have become tight around the waist. Increased abdominal girth is an early sign of Wilm's tumor.

Question 5 of 5

The nurse is caring for a group of clients on a medical surgical unit. Which client is most at risk for contracting a nosocomial infection?

Correct Answer: C

Rationale: An indwelling urinary catheter increases the risk of catheter-associated urinary tract infections, a common nosocomial infection, especially in older adults with prolonged catheter use.

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