NCLEX Questions, NCLEX PN Practice Tests Questions, NCLEX-PN Questions, Nurselytic

Questions 164

NCLEX-PN

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Extract:


Question 1 of 5

A father suspected of child abuse tells the nurse, 'I shouldn't have grabbed him so hard. I had a really bad day at work and got all stressed out. The kid just wouldn't listen to me.' The defense mechanism used by the father is:

Correct Answer: B

Rationale: Displacement involves redirecting emotions (stress from work) onto a less threatening target (child). Projection, undoing, and compensation do not apply.

Question 2 of 5

On initial examination of a 15 month-old child with suspected otitis media, which group of findings would the registered nurse (RN) anticipate?

Correct Answer: B

Rationale: Irritability, rhinorrhea, and bulging tympanic membrane. These findings are characteristic of otitis media, indicating infection and inflammation of the middle ear.

Question 3 of 5

A client with cancer pain is prescribed oxycodone. Which information is most essential to reinforce in order to help prevent long-term complications?

Correct Answer: B

Rationale: Constipation is a common, long-term complication of oxycodone, requiring preventive measures like fiber and fluids. Blood pressure monitoring, itching, and nausea are less critical long-term concerns.

Question 4 of 5

A client who has Mycoplasma pneumonia needs to go to the radiology department for a chest x-ray. What should the client wear?

Correct Answer: B

Rationale: A surgical mask prevents droplet transmission of Mycoplasma pneumonia during transport, protecting others.

Extract:

Laboratory Reference Ranges
Creatinine
Male: 0.6–1.3 mg/dL
(53–114.9 μmol/L)

Female: 0.5–1.2 mg/dL
(44.2–106.1 μmol/L)


Question 5 of 5

The nurse is planning to assess 4 assigned clients. Which client situation is of greatest concern and warrants immediate assessment?

Correct Answer: D

Rationale: Severe pain (10/10) with bloating, nausea, and vomiting in an inguinal hernia suggests strangulation, a surgical emergency. High creatinine, urinary retention, and infected ulcers are urgent but less immediately life-threatening.

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