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:


Question 1 of 5

To obtain data for the nursing assessment, the nurse should:

Correct Answer: D

Rationale: The nurse's understanding of the client rests on the comprehensiveness of assessment data obtained by listening to the client's self revelation.

Question 2 of 5

A patient with heart failure is prescribed furosemide (Lasix). Which of the following electrolyte imbalances should the nurse monitor for?

Correct Answer: B

Rationale: Furosemide, a loop diuretic, increases potassium excretion, leading to hypokalemia, which can cause arrhythmias. Hyperkalemia, hypernatremia, and hyponatremia are less likely with furosemide.

Question 3 of 5

A client is scheduled for an excretory urography at 10 a.m. An order states to insert a saline lock I.V. device at 9:30 a.m.. The client requests a local anesthetic for the I.V. procedure and the physician orders lidocaine-prilocaine cream (EMLA cream). The nurse should apply the cream at:

Correct Answer: A

Rationale: It takes up to 2 hours for lidocaine-prilocaine cream (EMLA cream) to reach its maximum effectiveness.
Therefore, if the cannulation is scheduled for 9:30 a.m., EMLA cream should be applied at 7:30 a.m. Applying EMLA at 6:30 a.m. is too early. The other time options are too late for the local anesthetic to be effective.

Extract:

At term, Ms. Star is admitted to the hospital in active labor which progresses normally. She delivers a baby boy. A few hours after Ms. Star's delivery, the nurse notes that Ms. Star has saturated two perineal pads with blood within a 20-minute period.


Question 4 of 5

Which of the following actions should the nurse takes first?

Correct Answer: A

Rationale: A boggy uterus is a common cause of postpartum hemorrhage, making fundus assessment the first action.

Extract:


Question 5 of 5

Which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours after the procedure?

Correct Answer: B

Rationale: Thrombus formation in the coronary arteries is a potential problem in the initial 24 hours after a cardiac catheterization. A falling BP occurs along with hemorrhage of the insertion site which is within the first 12 hours after the procedure.

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