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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Free Practice Questions Questions

Extract:


Question 1 of 5

An 18-month old is scheduled for a cleft palate repair. The usual type of restraints for a child with a cleft palate repair are:

Correct Answer: A

Rationale: Elbow restraints prevent the child from touching the surgical site while allowing some movement. Full arm or wrist restraints are too restrictive. Mummy restraints are used in other contexts.

Question 2 of 5

A client receiving aminophylline complains of nausea and 'feeling jittery.' The nurse's first action should be to:

Correct Answer: D

Rationale: Nausea and jitteriness suggest aminophylline toxicity, so checking the drug level is the priority. Other actions address symptoms, not the cause.

Question 3 of 5

The nurse is providing home care for a client who has Parkinson's disease and is ambulatory. Which activity will help to prevent slipping and falling?

Correct Answer: C

Rationale: Sitting for extended periods reduces ambulation time, minimizing fall risk in Parkinson's, where gait instability is common. Smooth soles, bed rails, or rugs increase risks.

Extract:

Nurse Mary is scheduled to attend an in-service program but she still has to perform some nursing care on her assigned client.


Question 4 of 5

Which action will best meet her educational needs?

Correct Answer: B

Rationale: Completing the procedure ensures patient care continuity before attending the in-service.

Extract:


Question 5 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.

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