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
The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to?
Correct Answer: C
Rationale: The measurement and recording of vital signs may be delegated to UAP. This falls under the umbrella of routine task with stable clients. Other considerations for delegation of care to UAP would be: Who is capable and is the least expensive worker to do each task?
Question 3 of 5
The nurse is caring for a client with a chest tube connected to a water-seal drainage system. The nurse observes continuous bubbling in the water-seal chamber. The nurse should
Correct Answer: A
Rationale: Continuous bubbling in the water-seal chamber indicates an air leak in the system (e.g., loose connections or lung leak), requiring assessment to locate and correct it. Increasing suction (
B) won’t fix the leak, clamping (
C) is dangerous, and notifying the physician (
D) follows assessment.
Question 4 of 5
The nurse is preparing to administer a dose of morphine sulfate to a client with postoperative pain. The client reports nausea. The nurse should
Correct Answer: C
Rationale: Nausea is a common side effect of morphine, and administering an antiemetic beforehand (if ordered) prevents discomfort while allowing pain relief. Administering without addressing nausea (
A) is inappropriate, holding the dose (
B) delays pain control, and dilution (
D) is incorrect for IV morphine.
Question 5 of 5
Which of the following nursing actions has the HIGHEST priority for a teenager admitted with burns to 50% of his body?
Correct Answer: C
Rationale: Severe burns (50% of the body) significantly increase the risk of infection due to loss of skin barrier. Maintaining aseptic technique during procedures is the highest priority to prevent life-threatening infections. Counseling (
A) and peer visits (
D) address psychosocial needs, which are secondary, and airborne precautions (
B) are unnecessary (standard precautions suffice).