NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
To evaluate possible laryngeal nerve injury following a thyroidectomy, the nurse on an hourly basis should:
Question 1 of 5
Ask the patient to speak.
Correct Answer: A
Rationale: If the laryngeal nerves are injured bilaterally during surgery, the vocal cords will tighten, interfering with speech. If one cord is affected, hoarseness develops. This can be evaluated simply by having the patient speak every hour.
Extract:
On the third day post partum day, a mother asks why her newborn's skin has begun to appear yellow.
Question 2 of 5
The nurse should plan to teach her that the change in skin tone is a result of:
Correct Answer: C
Rationale: Physiologic jaundice results from the breakdown of excess red blood cells in newborns.
Extract:
Question 3 of 5
The nurse is caring for a preschool-aged child admitted with a diagnosis of suspected child abuse. During painful procedures, the child remains quiet and watchful. When planning the care of a victim of child abuse, the nurse should give priority to:
Correct Answer: B
Rationale: Assigning a consistent caregiver will best meet the child's need for safety and security. Playtime will be therapeutic for the child, but it does not have to be with same-age children, so answer A is incorrect. Answer C is too threatening to the child who has been abused, so it is incorrect. Answer D does not allow the child the chance to respond in an expected way, so it is incorrect.
Question 4 of 5
A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. Which of the following oxygen delivery devices is most appropriate for this patient?
Correct Answer: C
Rationale: The Venturi mask delivers precise oxygen concentrations, critical for COPD patients to avoid CO2 retention. Nasal cannulas are less precise, and non-rebreather or simple masks deliver high oxygen inappropriately.
Extract:
The most sensitive and easily quantifiable measure of circulatory status in a child is
Question 5 of 5
The most sensitive and easily quantifiable measure of circulatory status in a child is
Correct Answer: C
Rationale: Capillary refill time is a quick, sensitive indicator of perfusion in children.