NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A toddler is diagnosed with a dislocated right shoulder and a simple fracture of the right humerus. Which behavior most strongly suggests that the child's injuries stem from abuse?
Correct Answer: D
Rationale: Not crying when moved most strongly suggests child abuse. A victim of child abuse typically doesn't complain of pain, even with obvious injuries, for fear of further displeasing the abuser. Trying to sit up on the stretcher is a typical client response. Trying to move away from the nurse indicates fear of strangers, which is normal in a toddler. Difficulty answering the nurse's questions is expected in a toddler because of poorly developed cognitive skills.
Question 2 of 5
A woman at 38-weeks gestation comes to the emergency room with complaints of vaginal bleeding. Which of the following statements, if made by the client, would suggest to the nurse placenta previa as the cause of the bleeding?
Correct Answer: A
Rationale: Placenta previa is characterized by painless vaginal bleeding, as the placenta covers the cervix, causing bleeding without contractions.
Choice A reflects this. Nausea (
B) is unrelated, activity-related bleeding (
C) suggests abruptio placentae, and cramps (
D) indicate labor or abruptio placentae.
Extract:
When obtaining a health history from a young patient with probable acute lymphocytic leukemia (ALL), the clinical manifestations the nurse should expect to be present:
Question 3 of 5
When obtaining a health history from a young patient with probable acute lymphocytic leukemia (ALL), the clinical manifestations the nurse should expect to be present:
Correct Answer: C
Rationale: Anorexia and petechiae are common in ALL due to bone marrow suppression.
Extract:
Question 4 of 5
Which of the following snacks would be permitted for a child with acute renal failure?
Correct Answer: C
Rationale: Marshmallows are low in potassium and sodium, making them suitable for a child with acute renal failure, unlike the other high-potassium or high-sodium options.
Question 5 of 5
The nurse is teaching a client with non-insulin dependent diabetes mellitus about the prescribed diet. The nurse should teach the client to
Correct Answer: D
Rationale: Currently, calorie-controlled diets with strict meal plans are rarely suggested for clients who have diabetes. A regular schedule of meals and snacks helps maintain stable blood glucose levels.