NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
First-time parents bring their 5 day-old infant to the pediatrician's office because they are extremely concerned about its breathing pattern. The nurse assesses the baby and finds that the breath sounds are clear with equal chest expansion. The respiratory rate is 38-42 breaths per minute with occasional periods of apnea lasting 10 seconds in length. What is the correct analysis of these findings?
Correct Answer: C
Rationale: This breathing pattern is normal. Newborns typically have a respiratory rate of 30-60 breaths/minute with brief apneic periods.
Question 2 of 5
The nurse is providing home care to a confused client. The client's family is using a restraint to keep the client from pulling out her indwelling catheter. What should the nurse plan to include when teaching the family?
Correct Answer: B
Rationale: Checking restrained extremities hourly ensures circulation and prevents injury. Scheduled removal, supervision-based removal, or nurse-only removal are less practical or safe.
Question 3 of 5
The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?
Correct Answer: B
Rationale: Directly asking about potential abuse (e.g., grabbing) is appropriate to investigate suspected elder abuse, as bilateral arm bruises suggest gripping. Less specific questions may not elicit critical information. Psychosocial Integrity
Question 4 of 5
The nurse is planning the assignment of tasks for the day. Which factors would the nurse remain mindful of when delegating tasks? Select all that apply.
Correct Answer: A,E
Rationale: Delegation requires matching tasks to staff competencies based on client acuity and needs, ensuring safety and efficiency. Staff requests, room clustering, and discharges are secondary considerations that do not directly impact safe delegation.
Question 5 of 5
A client with insulin-dependent diabetes mellitus takes Lantus insulin. At what time of the day would the nurse administer the insulin?
Correct Answer: D
Rationale: Lantus is a long-acting insulin typically administered at bedtime (e.g., 2100) to provide steady glucose control overnight and throughout the next day.