NCLEX Questions, NCLEX PN Practice Test Questions, NCLEX-PN Questions, Nurselytic

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

NCLEX PN Practice Test Questions

Extract:


Question 1 of 5

A client is admitted to the postpartum floor after a vaginal birth. Which finding indicates the need for immediate intervention?

Correct Answer: B

Rationale: Headache with blurred vision (
B) suggests preeclampsia, a life-threatening condition requiring immediate intervention. Lochia (
A), nipple pain (
C), and discharge (
D) are normal or less urgent postpartum findings.

Question 2 of 5

The nurse has reinforced teaching with the parent of a 3-year-old client who has acute diarrhea. Which of the following statements by the parent would require follow-up?

Correct Answer: C

Rationale: The BRAT diet (
C) is outdated and may lack nutrients, risking prolonged recovery. Skin barrier cream (
A), frequent fluids (
B), and monitoring urine output (
D) are appropriate for preventing skin breakdown, dehydration, and detecting complications.

Question 3 of 5

The nurse is caring for a child receiving chest physiotherapy (CPT). Which of the following actions by the nurse would be appropriate?

Correct Answer: C

Rationale: Continue the percussion to the rib cage area. Percussion should target the rib cage to mobilize secretions effectively.

Question 4 of 5

A client is receiving IV potassium. The IV pump displays an occlusion alarm. The tubing is free of occlusions, and the IV flushes easily without symptoms of infiltration. Which action should the nurse take next?

Correct Answer: B

Rationale: An occlusion alarm with patent tubing suggests a pump malfunction. Exchanging the pump (
B) ensures safe delivery. Discarding (
A) is unnecessary, a new catheter (
C) is not indicated, and gravity drip (
D) risks rapid infusion.

Question 5 of 5

The doctor has ordered Nitrostat (nitroglycerine) sublingually for a client with angina. The client should be ordered to replenish his supply every:

Correct Answer: A

Rationale: Nitroglycerin loses potency after 6 months, requiring replacement to ensure efficacy for angina relief.

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