NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
What is the appropriate ratio of cardiac compressions to ventilations in an adult client for one-person CPR?
Correct Answer: C
Rationale: The appropriate ratio for adult CPR is 15 compressions to 2 ventilations.
Question 2 of 5
The client is being treated with intravenous Vancomycin for MRSA when the nurse notes redness of the client's neck and chest. Place in ordered sequence the actions to be taken by the nurse:
Correct Answer: B,D,C,A
Rationale: Redness suggests an allergic reaction or 'red man syndrome' from rapid vancomycin infusion. The nurse should: stop the infusion to prevent further reaction, take vital signs to assess severity, administer Benadryl if ordered, and call the doctor for further orders.
Question 3 of 5
A client, age 21, is admitted with bacterial meningitis. Which hospital room would be the appropriate choice for this client?
Correct Answer: B
Rationale: A client with bacterial meningitis should be kept in isolation for at least 24 hours after admission and, during the initial acute phase, should be as close to the nurses' station as possible to allow maximal observation. Placing the client in a room with a client who has viral meningitis may cause harm to both clients because the organisms causing viral and bacterial meningitis differ; either client may contract the other's disease. Immunity to bacterial meningitis can't be acquired; therefore, a client who previously had bacterial meningitis shouldn't be put at risk by rooming with a client who has just been diagnosed with this disease.
Question 4 of 5
An adult is scheduled for a magnetic resonance imaging (MRI) exam today. Which finding must be reported immediately?
Correct Answer: D
Rationale: Pacemakers are contraindicated for MRI due to magnetic field interference, risking device malfunction, requiring immediate reporting, unlike pins, necklaces, or prior x-ray work.
Extract:
Thrombus formation is a danger for all post operative patients. The nurse should act independently to prevent this complication by:
Question 5 of 5
The nurse should act independently to prevent this complication by:
Correct Answer: C
Rationale: In-bed exercises promote venous return, reducing the risk of thrombus formation.