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

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.

Extract:

When assessing an individual with a spontaneous pneumothorax, there is a danger of mediastinal shift.


Question 2 of 5

Mediastinal shift is described as:

Correct Answer: A

Rationale: Mediastinal shift involves tracheal deviation to the unaffected side due to pressure imbalance.

Extract:

The hormone that tends to decrease calcium concentration in the blood is:


Question 3 of 5

Calcitonin

Correct Answer: A

Rationale: Calcitonin, a thyroid gland hormone, prevents the reabsorption of calcium by bone and inhibits the release of calcium from bone, lowering serum calcium levels.

Extract:

Mrs. Jones is receiving Digoxin and Lasix daily. Today, Mrs. Jones complains of nausea and her apical pulse is 130 and irregular.


Question 4 of 5

Which of the following nursing interventions is the most appropriate?

Correct Answer: A

Rationale: Nausea and tachycardia suggest digoxin toxicity, often linked to hypokalemia from Lasix; holding digoxin and checking potassium is priority.

Extract:

This is a 45-year-old patient who lost large amount of blood due to gunshot wound (GSW) on the thigh and abdomen. The patient develops hypotension while receiving transfusion.


Question 5 of 5

Which of the following other symptoms, if seen in this patient, would be most significant in terms of realizing that a potential complication is occurring?

Correct Answer: B

Rationale: Back pain in a blood transfusion reaction indicates kidney involvement, a significant complication requiring immediate attention.

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