NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A 6-week-old infant is admitted with suspected pyloric stenosis. Which finding is characteristic of the infant with pyloric stenosis?
Correct Answer: B
Rationale: Pyloric stenosis presents with a palpable, olive-shaped mass in the epigastrium due to pyloric muscle hypertrophy. Colicky pain is nonspecific, currant jelly stools suggest intussusception, and grain intolerance indicates celiac disease.
Question 2 of 5
Which activity should not be assigned to an unlicensed person?
Correct Answer: D
Rationale: Completing the 24-hour intake and output record involves calculation and analysis, beyond the scope of unlicensed personnel, requiring nursing judgment.
Question 3 of 5
A cooling blanket has been ordered for an adult who has a head injury and is running high fevers. The client starts shivering. What action is most appropriate for the LPN?
Correct Answer: B
Rationale: Shivering indicates the cooling blanket may be too cold, risking complications; reporting to the charge nurse ensures proper adjustment.
Question 4 of 5
Which laboratory result would concern the nurse caring for a client who is receiving furosemide (Lasix)?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, can cause hypokalemia. A potassium level of 2.5 mEq/L is critically low and concerning, risking arrhythmias. Sodium 140, glucose 110, and calcium 8 are within normal ranges.
Question 5 of 5
A nurse is administering heparin subcutaneously to a patient. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Heparin is injected into the abdomen for consistent absorption, avoiding muscle tissue. Aspiration risks bleeding, massaging causes bruising, and a shorter needle (e.g., 5/8 inch) is used.