NCLEX Daily Practical Exercise 18

Welcome to our NCLEX-RN Daily Ten Practice! This practice is designed to help you solidify your knowledge, improve your skills, and prepare thoroughly for the NCLEX-RN exam. With ten questions to tackle each day, you’ll have the opportunity to review a broad range of subjects covered in the NCLEX-RN exam.

 

1. When giving intravenous (I.V.) phenytoin, which of the following methods should you use?

Correct Answer: C

Answer Explanation:

Phenytoin is compatible only with saline solutions.

Options A and B: You needn’t withhold additional anticonvulsants or use an in-line filter.
Option D: Dextrose causes an insoluble precipitate to form.

2. After surgical repair of a hip, which of the following positions is best for the patient’s legs and hips?

Correct Answer: A

Answer Explanation:

After surgical repair of the hip, keep the legs and hips abducted to stabilize the prosthesis in the acetabulum.

Option B: Adduction brings the limb or hand toward or across the midline of the body, or brings the fingers or toes together.
Option C: Prone position is a body position in which the person lies flat with the chest down and the back up.
Option D: A subluxation is a partial dislocation of a joint. It’s often the result of acute injury or repetitive motions, but it can also occur because of medical conditions where the ligaments are loose.

3. Which of the following factors should be the primary focus of nursing management in a patient with acute pancreatitis?

Correct Answer: B

Answer Explanation:

Acute pancreatitis is commonly associated with fluid isolation and accumulation in the bowel secondary to ileus or peripancreatic edema. Fluid and electrolyte loss from vomiting is a major concern. Therefore, your priority is to manage hypovolemia and restore electrolyte balance.

Options A and D: Pain control and nutrition also are important, but not priority.
Option C: Patients are at risk for hyperglycemia, not hypoglycemia.

4. After a liver biopsy, place the patient in which of the following positions?

Correct Answer: B

Answer Explanation:

Positioning the patient on his right side with the bed flat will splint the biopsy site and minimize bleeding.

Options A, C, D: The other positions won’t do this and may cause more bleeding at the site or internally.

5. Which of the following potentially serious complications could occur with therapy for hypothyroidism?

Correct Answer: B

Answer Explanation:

Precipitation of angina or cardiac arrhythmia is a potentially serious complication of hypothyroidism treatment.

Option A: Acute hemolytic reaction is a complication of blood transfusions.
Option C: Retinopathy typically is a complication of diabetes mellitus.
Option D: Thrombocytopenia doesn’t result from treating hypothyroidism.

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