NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
A child comes to the hospital after exposure to diphtheria and is given antitoxin.
Question 1 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.
Extract:
Question 2 of 5
The nurse has an order for 75 mg of Demerol (meperidine) and 50 mg of Phenergan (promethazine) to be given to a post-operative client. The nurse should:
Correct Answer: B
Rationale: Drawing medications separately and using different sites prevents incompatibility reactions. Combining in one syringe risks precipitation, the medications are synergistic, and dorsogluteal/deltoid sites are less preferred.
Question 3 of 5
The nurse is caring for a client with a history of chronic venous insufficiency. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: Leg elevation reduces venous pooling and edema in chronic venous insufficiency, improving circulation. Warm compresses (
A) are inappropriate, diuretics (
C) are not first-line, and restricting ambulation (
D) worsens stasis.
Question 4 of 5
The nurse is preparing to administer a dose of warfarin (Coumadin) to a client with atrial fibrillation. The client’s INR is 4.5. The nurse should
Correct Answer: B
Rationale: An INR of 4.5 (therapeutic range: 2–3 for atrial fibrillation) indicates over-anticoagulation, increasing bleeding risk, so the dose should be held and the physician notified. Administering (
A) or reducing (
C) is unsafe, and vitamin K (
D) requires a physician order.
Question 5 of 5
A client is to have an epidural block to relieve labor pain. The nurse anticipates that the anesthesiologist will inject the anesthetic agent into the:
Correct Answer: C
Rationale: For an epidural block, the nurse should anticipate that the anesthesiologist will inject a local anesthetic agent into the epidural space, located between the dura mater and the ligamentum flavum in the lumbar region of the spinal column. When administering a spinal block, the anesthesiologist injects the anesthetic agent into the subarachnoid space. The ligamentum flavum and the area between the subarachnoid space and the dura mater are inappropriate injection sites.