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 nurse finds the victim under the wreckage of a collapsed building. The individual is conscious, breathing satisfactorily, and lying on the back complaining of pain in the back and an inability to move the legs.


Question 1 of 5

The nurse should first:

Correct Answer: A

Rationale: Keeping the patient immobile and seeking help prevents further spinal cord injury.

Extract:

A 65-year-old man has been admitted to the hospital for spinal stenosis surgery.


Question 2 of 5

When does the discharge training and planning begin for this patient?

Correct Answer: B

Rationale: Discharge planning begins upon admission to ensure a comprehensive care plan.

Extract:


Question 3 of 5

A patient is prescribed digoxin for heart failure. Which of the following findings should prompt the nurse to withhold the medication and notify the healthcare provider?

Correct Answer: A

Rationale: Digoxin slows heart rate, and a rate below 60 beats per minute indicates potential toxicity or bradycardia, requiring withholding the dose and provider notification. Other findings are within normal limits or unrelated.

Extract:

A patient with lower back pain is tentatively diagnosed as having a herniated intervertebral disc.


Question 4 of 5

When assessing this patient's back pain, the nurse should ask:

Correct Answer: C

Rationale: Pain during bowel movement can indicate nerve compression from a herniated disc, relevant to the diagnosis.

Extract:


Question 5 of 5

A child at school trips on a shoe lace and falls. Her ankle swells immediately, and the child is in a great deal of pain. What is the best initial action for the nurse to take?

Correct Answer: C

Rationale: Elevation and ice reduce swelling and pain in acute ankle injuries, following RICE (rest, ice, compression, elevation) principles.

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