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

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PN NCLEX Practice Exam Questions

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Question 1 of 5

A 4-year-old admitted with Wilms tumor is scheduled for a right nephrectomy in the morning. Which nursing action is a priority pre-operatively?

Correct Answer: D

Rationale: Avoiding abdominal palpation (
D) prevents tumor rupture in Wilms tumor, a critical pre-operative priority. Emotional assessment (
A), lung sounds (
B), and BP monitoring (
C) are important but secondary.

Question 2 of 5

The charge nurse in a long-term memory care facility is making assignments for the Alzheimer unit. Which tasks may be delegated to experienced unlicensed assistive personnel? Select all that apply.

Correct Answer: A,D,E

Rationale: Bathing/hair care (
A), placing bed alarms (
D), and reporting swallowing issues (E) are within UAP scope. Evaluating hazards (
B) and monitoring behavior changes (
C) require nursing judgment.

Question 3 of 5

An RN who usually works in a spinal rehabilitation unit is floated to the emergency department. Which of these clients should the charge nurse assign to this RN?

Correct Answer: C

Rationale: Nurses who are floated to other units should be assigned to a client who has minimal anticipated immediate complications of their problem. The client in option C exhibits opioid toxicity with the pinpoint pupils and has the least risk of complications occurring in the near future.

Question 4 of 5

The nurse is reinforcing teaching about infant safety to a class of expectant parents. Which statement by a participant indicates a need for further instruction?

Correct Answer: D

Rationale: Placing a teddy bear in the crib (
D) increases suffocation risk, requiring further teaching. Pacifiers (
A), sleep sacks (
B), and firm mattresses (
C) are safe.

Question 5 of 5

The nurse is caring for a client with suspected acute rheumatic fever. Which of the following questions would be most important for the nurse to ask the client?

Correct Answer: D

Rationale: Recent streptococcal infection (
D) is the primary trigger for rheumatic fever, making it the most important question. Antibiotic compliance (
A), family history (
B), and fever (
C) are relevant but less critical.

Similar Questions

Which of the following herbal supplements pose an increased risk for bleeding in surgical clients and should be discontinued prior to major surgery? Select all that apply.
The nurse is assisting in planning care for a client experiencing an acute attack of Ménière disease. Which action is a high priority to include in the plan of care?
A 15-month-old continually turns his cup upside down and shakes milk from the spout. The mother is convinced that he does this on purpose and asks the nurse what she should do. The nurse's response should be guided by the knowledge that:
The nurse is reinforcing teaching for a client with suspected Cushing syndrome who has a 24-hour urine specimen. Which of the following information should the nurse reinforce? Select all that apply.
The nurse is providing care to a 9-year-old client who is awaiting surgery. Which intervention is developmentally appropriate for this client's plan of care?

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