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

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

NCLEX PN Practice Questions Questions

Extract:


Question 1 of 5

A nursing diagnosis of 'ineffective airway clearance related to pain' is identified for a client who had open abdominal surgery 2 days ago. Which intervention should the nurse implement first?

Correct Answer: A

Rationale: Pain control is the priority to enable effective coughing and airway clearance.

Question 2 of 5

The nurse is reviewing recommended dietary modifications with a client with celiac disease. Which of the following menu selections by the client would indicate a correct understanding of the teaching? Select all that apply.

Correct Answer: B,C,E

Rationale: Corn tortillas, grilled chicken with potato/yogurt, and rice noodles are gluten-free, suitable for celiac disease. Barley and wheat contain gluten.

Question 3 of 5

Which of the following is not considered one of the five rights of medication administration?

Correct Answer: D

Rationale: Dose, client, drug, route and time are considered the five rights of medication.

Extract:

Laboratory reference ranges
Hemoglobin
1-6 years: 9.5-14.0 g/dL
(95-140 g/L)


Question 4 of 5

The nurse is caring for a 5-year-old client with sickle cell disease who is experiencing an episode of acute pain. The client has shortness of breath, nausea with vomiting, and severe generalized body and joint pain. Which of the following findings requires immediate intervention?

Correct Answer: A

Rationale: An enlarged spleen may indicate splenic sequestration, a life-threatening complication requiring immediate intervention.

Extract:


Question 5 of 5

The pediatric nurse is reinforcing education about medication administration to the parents of a 4-year-old client. Which statements made by the parents demonstrate correct understanding? Select all that apply.

Correct Answer: C

Rationale: Using an oral syringe ensures accurate dosing. Mixing with food, redosing after vomiting, involving the child in preparation, or punishing refusal are inappropriate.

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