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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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.

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