NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
When administering intravenous electrolyte solution, the nurse should take which of the following precautions?
Correct Answer: C
Rationale: Calcium infiltration can cause tissue necrosis, so preventing it is critical. Hypertonic solutions should be infused cautiously, potassium is typically limited to 60 mEq/L, and calcium's effect on digitalis is not a primary concern here. Physiological Adaptation
Question 2 of 5
Initial postoperative nursing care for an infant who has had a pyloromyotomy would initially include
Correct Answer: C
Rationale: Post-operatively, the initial feedings are clear liquids in small quantities to provide calories and electrolytes.
Question 3 of 5
A client with Alzheimer's disease mumbles incoherently and rambles in a confused manner. To help redirect the client's attention, the nurse should encourage the client to:
Correct Answer: A
Rationale: Folding towels and pillowcases is a simple activity that redirects the client's attention. Also, because this activity is familiar, the client is likely to perform it successfully. Cards, charades, and aerobic exercise are too complicated for a confused client.
Question 4 of 5
A nurse is caring for a patient who refuses a blood transfusion due to religious beliefs. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Respecting the patient’s decision upholds autonomy and ethical practice. Administering or persuading against beliefs violates rights, and ignoring wishes dismisses patient-centered care.
Extract:
A patient is suspected of having thrombophlebitis of the left lower extremity.
Question 5 of 5
During the initial assessment the nurse should specifically observe the patient for:
Correct Answer: A
Rationale: Edema is a hallmark sign of thrombophlebitis due to venous obstruction.