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

Questions 164

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NCLEX-PN Test Bank

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Extract:


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.

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