NCLEX Questions, NCLEX Practice Questions PN Questions, NCLEX-PN Questions, Nurselytic

Questions 176

NCLEX-PN

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Extract:


Question 1 of 5

A 13-month-old child is admitted to the pediatric unit with diarrhea and vomiting. The mother tells the nurse that she is worried because her son does not yet walk. She says her other children walked at eight and nine months and asks what could be wrong with this child. How should the nurse respond?

Correct Answer: A

Rationale: Walking typically occurs between 9-18 months; at 13 months, not walking is within normal variation, reassuring the mother without dismissing concerns.

Question 2 of 5

The practical nurse is collaborating with the registered nurse to form a care plan for a client diagnosed with placenta previa at 33 weeks gestation. Which of the following does the nurse anticipate being included in the plan of care? Select all that apply.

Correct Answer: B, C, D

Rationale: Nonstress tests (
B), cesarean preparation (
C), and type and screen (
D) monitor and prepare for bleeding risks in placenta previa. Activity as tolerated (
A) and vaginal exams (E) increase bleeding risk.

Question 3 of 5

A nurse is reinforcing teaching to the parent of a child who has a new diagnosis of absence seizures. Which statement by the parent indicates understanding of the teaching?

Correct Answer: C

Rationale: Staring and inattention (
C) are hallmark signs of absence seizures. Incontinence (
A) and confusion (
B) are more typical of other seizures, and odors (
D) suggest an aura, not typical in absence seizures.

Question 4 of 5

The nurse assigns an unlicensed assistive personnel (UAP) to care for a client with a musculoskeletal disorder. The client ambulates with a leg splint. Which task requires supervision of the UAP?

Correct Answer: B

Rationale: Monitor the client's response to interventions requires assessment, a task to be performed by an RN.

Question 5 of 5

A child on the playground is experiencing an anaphylactic reaction. The school nurse arrives with an EpiPen. The weather is cold and the child is wearing several layers of clothing. How should the nurse proceed with the EpiPen?

Correct Answer: C

Rationale: Injecting through clothing into the thigh (
C) ensures rapid administration during anaphylaxis. Arm injection (
A) is incorrect, IV injection (
B) is not for EpiPens, and delaying to remove clothing (
D) is dangerous.

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