NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The physician prescribes meperidine (Demerol), 1.1 mg/kg I.M., for a 16-month-old child who has just had abdominal surgery. When administering this drug, the nurse should use a needle of which size?
Correct Answer: C
Rationale: For an infant, the nurse should use a needle with the smallest appropriate gauge for the medication to be given. For an I.M. injection of meperidine, a 25G to 22G needle is appropriate.
Question 2 of 5
The nurse is monitoring a client's EKG strip and notes coupled premature ventricular contractions greater than 10 per minute. The nurse should expect to administer which of the following?
Correct Answer: D
Rationale: Lidocaine is the drug of choice for frequent (>6–10/min) or coupled premature ventricular contractions (PVCs), as it suppresses ventricular arrhythmias and prevents ventricular tachycardia. Atropine (
A) treats bradycardia, isoproterenol (
B) is used for heart block, and verapamil (
C) is a calcium-channel blocker for supraventricular arrhythmias.
Question 3 of 5
The nurse is inserting an indwelling catheter in a female. The nurse knows that the urethral meatus is located where?
Correct Answer: A
Rationale: The urethral opening is located between the clitoris and the vagina.
Extract:
A patient with CAD has a sudden episode of cyanosis & a change in respiration.
Question 4 of 5
The nurse starts O2 administration immediately. In this situation:
Correct Answer: B
Rationale: Cyanosis and respiratory changes justify immediate oxygen administration in CAD patients.
Extract:
The day before a patient who has had a subtotal gastrectomy is to be discharged, the patient complains of perspiring and having epigastric discomfort about a half hour after eating lunch. The symptoms disappear within a few minutes.
Question 5 of 5
The nurse recognizes that the teaching about prevention is understood when the patient states, 'I can limit these symptoms by:
Correct Answer: D
Rationale: Small, low-carbohydrate meals reduce dumping syndrome symptoms post-gastrectomy.