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

Questions 164

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NCLEX-PN Test Bank

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Question 1 of 5

The pediatric nurse receives report on 4 clients. Which client should the nurse see first?

Correct Answer: B

Rationale: The 6-year-old post-bronchoscopy is at risk for airway complications and requires immediate assessment.

Question 2 of 5

The nurse is observing the movements of a client receiving Thorazine (chlorpromazine). The client continually paces and rocks back and forth when sitting. The nurse recognizes that the client is experiencing:

Correct Answer: B

Rationale: Akathisia is characterized by restlessness, pacing, and rocking, which matches the client's symptoms. Answer A involves fixed upward gaze, Answer C involves muscle spasms, and Answer D involves slowed movements, all of which are incorrect.

Question 3 of 5

The nurse finds a person unresponsive on the floor. What is the initial nursing action?

Correct Answer: B

Rationale: Assessing respirations and pulse determines if CPR is needed, per ACLS guidelines. Compressions, positioning, or breathing are premature without confirming unresponsiveness and absence of pulse/breathing.

Question 4 of 5

The nurse is observing a client who had a left total knee replacement using a cane to descend stairs. It would demonstrate correct technique if the client descends the stairs by placing the

Correct Answer: A

Rationale: For descending stairs, the cane and affected leg move together after the unaffected leg, providing stability.

Question 5 of 5

The nurse is caring for a 67-year-old client with postherpetic neuralgia who has a new prescription for amitriptyline. Which of the following actions would be a priority for the nurse to take?

Correct Answer: C

Rationale: Amitriptyline can cause orthostatic hypotension, making slow position changes a priority to prevent falls.

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