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NCLEX Practice Questions PN Questions

Extract:


Question 1 of 5

When giving an intramuscular injection to an infant. Which of the following sites is preferred?

Correct Answer: C

Rationale: Vastus lateralis is the ideal choice for infants.

Question 2 of 5

The nurse is preparing to administer a sodium polystyrene sulfonate retention enema. Which explanation by the nurse best describes the purpose of this type of enema?

Correct Answer: C

Rationale: Sodium polystyrene sulfonate (
C) removes excess potassium via the intestines, used in hyperkalemia. Other options describe unrelated procedures.

Question 3 of 5

A recovering alcoholic asked the nurse, 'Will it be ok for me to just drink at special family gatherings?' Which initial response by the nurse would be best?

Correct Answer: D

Rationale: A recovering person cannot return to drinking without starting the addiction process over.
Total abstinence is required to maintain recovery.

Question 4 of 5

A client with metastatic esophageal cancer says, 'I don't want to be kept alive being fed by a tube.' What are the most appropriate ways for the nurse to ensure that this information is available to all who may need it for future decision-making? Select all that apply.

Correct Answer: A, B, C

Rationale: Documenting in the EHR (
A), discussing with the proxy (
B), and completing an advance directive (
C) ensure the client's wishes are communicated. Informed consent (
D) is irrelevant, and DNR (E) is not indicated.

Extract:

Vital signs
Temperature 95 F (35 C)
Blood pressure 90/50 mm Hg
Heart rate 50/min
Respirations 6/min
SpO2 83%


Question 5 of 5

The nurse is caring for a client with hypothyroidism who has become lethargic and difficult to rouse. Which action is the priority?

Correct Answer: B

Rationale: Lethargy and unresponsiveness in hypothyroidism suggest myxedema coma, requiring immediate airway management with ventilation (
B). Levothyroxine (
A), warming (
C), and lab review (
D) are secondary.

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The nurse is performing tracheostomy care for a client who has a tracheostomy tube with a disposable inner cannula. Which of the following actions should the nurse take?
An adult is admitted to the emergency department following a fall. A piece of bone is protruding through the skin of the left thigh. In addition to assessing vital signs, what information is most essential to obtain from the client at this time?
The nurse is talking with the parent of a 22-month-old client. The parent states, 'I am worried about my child's thumb-sucking and its effects on tooth alignment.' Which of the following responses would be appropriate for the nurse to make? Select all that apply.
A female client seen in the health department's STD clinic is diagnosed with chlamydia. Before the client leaves the clinic, the nurse should:

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