NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
A newborn is having difficulty maintaining a temperature above 98 degrees Fahrenheit and has been placed in an incubator. Which action is a nursing priority?
Correct Answer: B
Rationale: Monitor the neonate's temperature. When using a warming device the neonate's temperature should be continuously monitored for undesired elevations. The use of heat lamps is not safe as there is no way to regulate their temperature. Warming medications and fluids is not indicated. While touching with cold hands can startle the infant it does not pose a safety risk.
Question 2 of 5
Nursing considerations when caring for African-American clients include that:
Correct Answer: B
Rationale: African-American clients may require specific hair, skin, and nail care due to unique characteristics, like curly hair or skin sensitivity. The other generalizations are inaccurate or stereotypical. Psychosocial Integrity
Question 3 of 5
The nurse is caring for an adolescent client who just had placement of an external fixation device for long-term stabilization of a fractured tibia. Which interventions should the nurse expect to implement when caring for this client? Select all that apply.
Correct Answer: C,D,E
Rationale: Notifying the RN of drainage or pain, performing neurovascular checks, and sterile pin care prevent complications like infection or neurovascular compromise. Tightening pins is not a nursing task, and bed rest is not always required, depending on the care plan.
Question 4 of 5
The nurse is caring for a client with suspected tracheoesophageal fistula and esophageal atresia. The nurse is most likely to observe
Correct Answer: A
Rationale: Tracheoesophageal fistula and esophageal atresia prevent normal swallowing, leading to pooling of saliva and excessive salivation. Abdominal distension or vomiting may occur in some cases, but salivation is the most consistent sign. Diminished lung sounds are less specific.
Question 5 of 5
The charge nurse has a health care team that consists of 1 practical nurse (PN), 1 unlicensed assistive personnel (UAP) and 1 PN nursing student. Which assignment should be questioned by the nurse manager?
Correct Answer: A
Rationale: The care for a new admission should be performed by an RN. Since the client was admitted at the change of shifts, the stability of the client would not have been established.