NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
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 1 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.
Extract:
The description that should be used for the soft swishing sounds of normal breathing heard when the nurse auscultate a patient's chest would be:
Question 2 of 5
The description that should be used for the soft swishing sounds of normal breathing heard when the nurse auscultate a patient's chest would be:
Correct Answer: C
Rationale: Vesicular breath sounds are soft, swishing sounds heard over healthy lung fields.
Extract:
Question 3 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.
Question 4 of 5
In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:
Correct Answer: C
Rationale: Bleeding problems are not specific to diabetes management in a disaster. Assessing diabetic symptoms, nutrition, and insulin availability are critical for care continuity. Safety and Infection Control
Question 5 of 5
A client is to have an epidural block to relieve labor pain. The nurse anticipates that the anesthesiologist will inject the anesthetic agent into the:
Correct Answer: C
Rationale: For an epidural block, the nurse should anticipate that the anesthesiologist will inject a local anesthetic agent into the epidural space, located between the dura mater and the ligamentum flavum in the lumbar region of the spinal column. When administering a spinal block, the anesthesiologist injects the anesthetic agent into the subarachnoid space. The ligamentum flavum and the area between the subarachnoid space and the dura mater are inappropriate injection sites.