NCLEX-PN
Quizlet NCLEX PN 2023 Questions
Extract:
Question 1 of 5
When giving an intramuscular injection to an infant, which of the following sites is preferred?
Correct Answer: C
Rationale: The correct answer is the Vastus lateralis when giving an intramuscular injection to an infant. The Vastus lateralis muscle, located in the thigh, is the preferred site for infants as it has a larger muscle mass and is well-developed, making it suitable for injections. The Ventrogluteal region and Dorsogluteal region are not recommended for infants due to their smaller muscle mass and potential risk of damaging nearby structures. The Deltoid muscle is typically used for older children and adults, not infants.
Question 2 of 5
A 55-year-old female asks a nurse the following, “Which mineral/vitamin is the most important to prevent the progression of osteoporosis?†The nurse should state:
Correct Answer: C
Rationale: The correct answer is C: Calcium. Calcium is essential for maintaining bone health and is crucial in preventing osteoporosis. Adequate calcium intake, along with vitamin D, is vital for bone strength. While other minerals and vitamins are also important for overall health, in the context of preventing osteoporosis, calcium plays a primary role. Potassium (
Choice
A), Magnesium (
Choice
B), and Vitamin B12 (
Choice
D) are important for various bodily functions but are not as directly linked to preventing osteoporosis as calcium.
Question 3 of 5
A nurse is caring for a patient in the step-down unit. The patient has signs of increased intracranial pressure. Which of the following is not a sign of increased intracranial pressure?
Correct Answer: B
Rationale: The correct answer is 'Increased pupil size bilaterally.' When assessing for signs of increased intracranial pressure, bilateral pupil dilation is not typically associated with this condition. Instead, unilateral pupil changes, especially one pupil becoming dilated or non-reactive while the other remains normal, are indicative of increased ICP. Bradycardia, a change in level of consciousness (LO
C), and vomiting are commonly seen in patients with increased intracranial pressure due to the brain's response to the rising pressure.
Therefore, the presence of bilateral pupil dilation goes against the typical pattern observed in patients with increased intracranial pressure.
Question 4 of 5
A 32-year-old male with a complaint of dizziness has an order for Morphine via IV. What should the nurse do first?
Correct Answer: B
Rationale: The correct first action for the nurse to take in this situation is to retake the patient's vitals, including blood pressure. Dizziness can be a sign of hypotension, which may be a contraindication for administering Morphine. Checking the chest x-ray results (
Choice
A) would not be the priority in this case as addressing the dizziness is more urgent. Performing a neurological screening (
Choice
C) may be important but not the first step when a patient presents with dizziness and an order for Morphine. Requesting the physician to assess the patient (
Choice
D) should come after the initial assessment and vitals retake.
Question 5 of 5
During a stress test, a patient complains of severe chest pain. Which of the following medications is the most appropriate to relieve this discomfort?
Correct Answer: C
Rationale: In this scenario, the most appropriate medication to relieve severe ischemic chest pain during a stress test is Procardia. Procardia, a calcium channel blocker, is effective in quickly alleviating chest pain by dilating coronary arteries, improving blood flow to the heart muscle. Aspirin, although important for antiplatelet effects, is not the best choice for immediate relief of severe chest pain. Diazoxide is a vasodilator used in hypertensive emergencies, not for acute chest pain. Mannitol is an osmotic diuretic used to reduce intracranial pressure, not for chest pain relief.