NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a fracture of the radius had a plaster cast applied 2 days ago. The client complains of constant pain and swelling of the fingers. The first action of the nurse should be
Correct Answer: C
Rationale: A deterioration in neurovascular status indicates the development of compartment syndrome (elevated tissue pressure within a confined area) which requires immediate pressure-reducing interventions.
Question 2 of 5
The nurse is caring for a 2-year-old client who has iron deficiency anemia. The nurse should recognize that this condition is most likely the result of
Correct Answer: C
Rationale: Excessive cow's milk intake in toddlers can lead to iron deficiency anemia due to low iron content and potential for gastrointestinal irritation.
Question 3 of 5
The client is unable to adequately bathe himself because he has dressings on his hands that cannot get wet. What is the most appropriate nursing diagnosis for this assessment finding?
Correct Answer: D
Rationale: Inability to bathe due to hand dressings indicates a self-care deficit in bathing, the most specific nursing diagnosis.
Question 4 of 5
The nurse is assisting with the care of a client who is scheduled to receive an oxytocin infusion to induce labor. The nurse should recognize that oxytocin infusion can lead to
Correct Answer: B
Rationale: Oxytocin can cause uterine hyperstimulation, leading to fetal distress and potential cesarean delivery.
Question 5 of 5
The evening nurse caring for an adult who had a partial gastrectomy this morning notes that the drainage from the nasogastric tube is bright red. What action should the nurse take?
Correct Answer: B
Rationale: Bright red nasogastric drainage suggests active bleeding post-gastrectomy, requiring immediate reporting to assess for hemorrhage.