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 of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophageal reflux disease (GERD)?

Correct Answer: C

Rationale: Chocolate relaxes the lower esophageal sphincter, worsening GERD symptoms. The other foods are less likely to trigger reflux. Basic Care and Comfort

Extract:

Which of the following indicate that the patient with Guillain Barre Syndrome is recovering?


Question 2 of 5

Which of the following indicate that the patient with Guillain Barre Syndrome is recovering?

Correct Answer: B

Rationale: Movement of toes and fingers indicates improving motor function, a sign of recovery.

Extract:


Question 3 of 5

An elderly client with peripheral vascular disease has been using a heating pad. The first sign of thermal injury related to the use of a heating pad or a hot compress is:

Correct Answer: B

Rationale: Redness is the earliest sign of thermal injury due to vasodilation and inflammation. Swelling, blanching, and blisters appear later.

Question 4 of 5

The nurse is preparing to administer an injection of haloperidol decanoate (Haldol D). Which of the following actions by the nurse is MOST appropriate?

Correct Answer: B

Rationale: Haloperidol decanoate is highly irritating to subcutaneous tissue, requiring deep IM injection into a large muscle (e.g., gluteus) to ensure proper absorption and minimize tissue damage. Massaging (
A) risks irritation, a 25-gauge needle (
C) is too small, and dividing doses (
D) is incorrect.

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.

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