NCLEX-PN Exam Questions - Part 55

1. A hospital discharge planning nurse is making arrangements for a client who has an epidural catheter for continuous infusion of opioids to be placed in a long-term care facility. The family prefers a facility in its neighborhood to facilitate visiting. The neighborhood facility has never cared for a client with this type of need. What is the most appropriate action by the discharge planning nurse?

A) Ask the physician for an extension of hospitalization until the epidural catheter is discontinued to allow for placement at the neighborhood facility.
B) Arrange for immediate in-services for the long-term care facility staff on pain management using epidural catheters.
C) Explain the situation to the client and family and seek another long-term care facility for discharge from the hospital.
D) Encourage the family to hire private duty nurses skilled in epidural catheter pain management to allow the client to be transferred to the neighborhood facility.



2. In managing nausea related to Morphine epidural analgesia, the nurse should administer:

A) Indocin
B) Codeine
C) Motrin
D) Compazine



3. A client with sickle cell disease is worried about passing the disease on to children. Which of the following statements by the PN is most appropriate for this client?

A) 'You should discuss this with your physician.'
B) 'Sickle cell disease is genetically based and might be passed on to children.'
C) 'Sickle cell disease is genetically based and is not passed on to children.'
D) 'Sickle cell disease is caused by an infection and cannot be passed on to children.'



4. When teaching a client about anti-retroviral therapy for human immunodeficiency virus (HIV), the PN should emphasize:

A) when started, therapy must not be interrupted to prevent viral resistance.
B) when started, therapy must not be interrupted to prevent opportunistic infection.
C) therapy should be interrupted for one day each month to prevent toxicity.
D) therapy should be interrupted for one week every three months to prevent toxicity.



5. The best lab test to diagnose disseminated intravascular coagulation (DIC) is:

A) platelet count.
B) protime (PT).
C) partial thromboplastin time (PTT).
D) D-dimer.