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:

The nurse is conducting an intake interview with a new patient.


Question 1 of 5

Which of the following statements by the nurse reflects assessment on spiritual beliefs?

Correct Answer: A

Rationale: Describing faith provides a broader, more open-ended assessment of spiritual beliefs.

Extract:


Question 2 of 5

The nurse is preparing to administer digoxin (Lanoxin) 0.25 mg IV to a client with congestive heart failure. Before administering the medication, the nurse should

Correct Answer: A

Rationale: Digoxin can cause bradycardia, so checking the apical pulse (holding if <60 bpm) is critical to prevent toxicity. Verifying the dose (
B) is good practice but secondary, administering over 5 minutes (
C) is correct but not pre-administration, and digoxin levels (
D) are checked periodically, not before each dose.

Question 3 of 5

The nurse is preparing a 5 year-old for a scheduled tonsillectomy and adenoidectomy. The parents are anxious and concerned about the child's reaction to impending surgery. Which nursing intervention would best prepare the child?

Correct Answer: B

Rationale: Explain the surgery 1 week prior to the procedure. This allows the child time to process and understand the upcoming surgery.

Extract:

An elderly male patient admitted with a diagnosis of R/O cerebral vascular accident has had a significant change in his blood pressure: BP on admission was 160/100; an hour later BP went up to 180/110. The patient also appears 'sleepy'.


Question 4 of 5

Which assessment finding should the nurse report immediately to the provider?

Correct Answer: A

Rationale: Unilateral facial drooping is a classic sign of a stroke, requiring immediate reporting to the provider for urgent intervention.

Extract:


Question 5 of 5

An adult who is scheduled for several diagnostic tests says to the nurse, 'I am worried about too much exposure to x-rays.' When responding to the client, the nurse understands that which of the tests scheduled for the client will involve x-ray exposure? Select all that apply.

Correct Answer: A,C,E

Rationale: CT scans, cardiac catheterization, and barium enemas use x-rays for imaging, unlike MRI (magnetic fields), thyroid scans (radioisotopes), or nerve conduction tests (electrical).

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