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NCLEX Practice Test PN Questions

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Question 1 of 5

A client diagnosed with pneumonia is experiencing shortness of breath, chest pain, and orthopnea. The chest x-ray reveals a very large right pleural effusion. Which intervention should the nurse anticipate for this client?

Correct Answer: C

Rationale: Thoracentesis removes fluid from the pleural space, relieving pressure on the lung and improving breathing in a large pleural effusion.

Question 2 of 5

A newborn had a bowel resection with temporary colostomy for Hirschsprung disease. The practical nurse should alert the supervising registered nurse about which postoperative finding?

Correct Answer: D

Rationale: A gray-tinged stoma suggests ischemia or poor perfusion, which is a critical finding requiring immediate reporting to assess for stoma viability.

Question 3 of 5

An infant is to be admitted with severe diarrhea. Which room assignment is best for this infant?

Correct Answer: A

Rationale: A private room prevents transmission of infectious diarrhea to others. Proximity to the station, sharing with a non-infectious patient, or another diarrheal infant increases risks.

Question 4 of 5

The nurse practicing in a maternity setting recognizes that the post mature fetus is at risk due to

Correct Answer: D

Rationale: The placenta functions less efficiently as pregnancy continues beyond 42 weeks. Immediate and long term effects may be related to hypoxia.

Question 5 of 5

A 6-year old is admitted with a diagnosis of childhood autism. Which behavior is most typical of the child with autism?

Correct Answer: C

Rationale: Children with autism often engage in ritualistic or repetitive behaviors, such as specific routines or movements, as a hallmark of the condition.
Choice A is incorrect because children with autism typically have social communication difficulties and are less likely to engage with strangers.
Choice B is incorrect as they may show intense interest in specific inanimate objects.
Choice D is incorrect as music preference varies and is not a defining characteristic.

Similar Questions

The nurse is walking through a crowded waiting room when the respiratory therapist approaches the nurse and asks, 'How is the client in room 312?' Which of the following responses would be most appropriate for the nurse to make?
The nurse cares for a child with bed bug bites. Which parent statement indicates that further teaching is required?
A client recovering at home following a left total knee replacement 7 days ago is using a cane to go up and down the stairs under the supervision of the home health nurse. Which client action indicates a need for reinforcement of teaching?
The nurse is reviewing teaching about newly prescribed clonazepam with a client who is receiving palliative care for cancer. Which client statement shows a correct understanding of the nurse's teaching?
The nurse is caring for a client after a motor vehicle accident. The client's injuries include 2 fractured ribs and a concussion. The nurse notes which findings as expected neurological changes for the client with a concussion? Select all that apply.

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