NCLEX-PN
NCLEX PN Prep Questions Questions
Extract:
Question 1 of 5
A 2-year-old in the emergency department is suspected of having intussusception. Which assessment finding should the nurse expect?
Correct Answer: C
Rationale: Intussusception causes intestinal obstruction, often leading to 'currant jelly' stools (blood and mucus). Black, sticky stools suggest upper GI bleeding. Greasy stools indicate malabsorption. Ribbon-like stools suggest rectal narrowing.
Question 2 of 5
During the discharge teaching of a client with Buerger's disease, the nurse should teach the client:
Correct Answer: A
Rationale: Exercises to improve vascular return, such as ankle pumps, help manage Buerger's disease by promoting circulation in the extremities.
Question 3 of 5
Following change-of-shift report on an orthopedic unit, which client should the nurse see first?
Correct Answer: C
Rationale: Look for the client who has the most imminent risks and acute vulnerability. The client who returned from surgery 2 hours ago is at risk for life threatening hemorrhage and should be seen first.
Question 4 of 5
A mother asks the nurse if she should be concerned about her child's tendency to stutter. What assessment data will be most useful in counseling the parent?
Correct Answer: A
Rationale: Age of the child. Stuttering is often a normal part of language development in preschoolers, making age a critical factor.
Question 5 of 5
A client with renal failure has an order for erythropoietin (Epogen) to be given subcutaneously. The nurse should teach the client to report:
Correct Answer: A
Rationale: Erythropoietin can increase blood viscosity, raising the risk of hypertension or thrombosis, which may present as a severe headache. Slight nausea , decreased urination , and itching are less specific or urgent.