NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Mrs. Jones is receiving Digoxin and Lasix daily. Today, Mrs. Jones complains of nausea and her apical pulse is 130 and irregular.
Question 1 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:
Question 2 of 5
The nurse is administering iron by the $\mathrm{Z}$ track method. Which technique would the nurse utilize to prevent tracking of the medication?
Correct Answer: D
Rationale: The $0.2 \mathrm{ml}$ of air that would be administered after the medication with an intramuscular injection would allow the medication to be dispersed into the muscle. In the answer A, the muscle is small. Answer C is an incorrect procedure, and answer B doesn't help with prevention of tracking.
Extract:
The nurse notes that a patient exhibit the characteristic gait associated with Parkinson's disease.
Question 3 of 5
When recording on the patient's chart, the nurse should describe this gait as:
Correct Answer: C
Rationale: Parkinson's disease causes a shuffling gait due to bradykinesia and rigidity.
Extract:
The best indication that a patient with diabetes mellitus is successfully managing the disease after discharge is a
Question 4 of 5
significant loss of body weight.
Correct Answer: B
Rationale: A combination of diet, exercise, and medication is necessary to control the disease; the interaction of these therapies is reflected by well-controlled serum glucose.
Extract:
Question 5 of 5
A client is scheduled for an excretory urography at 10 a.m. An order states to insert a saline lock I.V. device at 9:30 a.m.. The client requests a local anesthetic for the I.V. procedure and the physician orders lidocaine-prilocaine cream (EMLA cream). The nurse should apply the cream at:
Correct Answer: A
Rationale: It takes up to 2 hours for lidocaine-prilocaine cream (EMLA cream) to reach its maximum effectiveness.
Therefore, if the cannulation is scheduled for 9:30 a.m., EMLA cream should be applied at 7:30 a.m. Applying EMLA at 6:30 a.m. is too early. The other time options are too late for the local anesthetic to be effective.