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:

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

A 55-year-old woman is recovering from a bowel resection. She is receiving epidural analgesia. She lived by herself right up until admission and has no cognitive deficits. All of the following interventions will reduce the risk of client falls. Which would be most appropriate for this client?

Correct Answer: C

Rationale: Keeping the bed low and call bell accessible promotes safety and independence, most appropriate for a cognitively intact client.

Extract:

On admission, the nurse gave the client a dose of epinephrine.


Question 3 of 5

The client is having typical side effects from epinephrine when the nurse observes that he is:

Correct Answer: C

Rationale: Increased blood pressure and tachycardia are typical effects of epinephrine due to its sympathomimetic action.

Extract:

In caring for a patient with ALS (Amyotrophic Lateral Sclerosis)


Question 4 of 5

In caring for a patient with ALS (Amyotrophic Lateral Sclerosis), the nursing diagnosis with the HIGHEST priority would be:

Correct Answer: C

Rationale: Ineffective airway clearance is the highest priority due to risk of respiratory failure in ALS.

Extract:


Question 5 of 5

The nurse is preparing to administer a dose of prednisone to a client with rheumatoid arthritis. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: Prednisone, a corticosteroid, can cause gastric irritation, so taking it with food minimizes GI upset. Empty stomach (
A) increases irritation, stopping abruptly (
B) risks adrenal crisis, and potassium (
D) is relevant for diuretics, not corticosteroids.

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