NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
A mother noticed a large abdominal mass when helping her 3-year-old child bathe. The child is taken to the physician and admitted to the hospital after an intravenous pyelogram (IVP) confirms the diagnosis of Wilms' tumor. Which nursing action is essential to include in the nursing care plan?
Correct Answer: B
Rationale: Avoiding abdominal palpation prevents potential tumor rupture or metastasis in Wilms' tumor, a critical precaution. Urine straining, dialysis, or poor prognosis are inappropriate.
Question 2 of 5
A nurse discovers a cyanotic newborn with excessive frothy mucus in the mouth. What should be the nurse’s first action?
Correct Answer: D
Rationale: Suctioning the mouth (
D) clears mucus, addressing potential airway obstruction causing cyanosis. Oxygen (
A), auscultation (
B), and positioning (
C) are secondary until the airway is clear.
Question 3 of 5
The nurse is caring for a client with panic disorder who is reporting palpitations and intense feelings of fear. The client is shaking and hyperventilating. Which of the following actions would be a priority for the nurse to take?
Correct Answer: D
Rationale: Staying with the client (
D) provides safety and reassurance, reducing fear and hyperventilation during a panic attack. Hallucinations (
A) are not typical, medication (
B) is secondary, and exploring triggers (
C) is appropriate after stabilization.
Question 4 of 5
The nurse measures the head and chest circumferences of a 20 month-old infant. After comparing the measurements, the nurse finds that they are approximately the same. What action should the nurse take?
Correct Answer: D
Rationale: Record these normal findings. Head and chest circumferences are typically equal by 1 to 2 years of age.
Question 5 of 5
The nurse is preparing a client for a magnetic resonance cholangiopancreatography. Which statements by the client would require the nurse to obtain further assessment data? Select all that apply.
Correct Answer: B,C,D
Rationale: A contrast allergy rash (
B) requires premedication or alternative imaging. A possible pregnancy (
C) needs confirmation due to MRI risks. A hearing aid implant (
D) may be MRI-incompatible. Recent eating (
A) is less critical unless sedation is planned, and smoking (E) is irrelevant.