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.

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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.

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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.

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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.

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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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