NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
If a 5½ - month-old infant's immunizations are on schedule, the nurse can assume that the baby has already received:
Question 1 of 5
If a 5½ - month-old infant's immunizations are on schedule, the nurse can assume that the baby has already received:
Correct Answer: C
Rationale: By 5½ months, infants typically receive two DTP doses (at 2 and 4 months).
Extract:
Question 2 of 5
The nurse is caring for a client with a history of chronic venous insufficiency. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: Leg elevation reduces venous pooling and edema in chronic venous insufficiency, improving circulation. Warm compresses (
A) are inappropriate, diuretics (
C) are not first-line, and restricting ambulation (
D) worsens stasis.
Question 3 of 5
The nurse is performing an assessment on a client who is cachectic and has developed an enterocutaneous fistula following surgery to relieve a small bowel obstruction. The client's total protein level is reported as 4.5 g/dl. Which of the following would the nurse anticipate?
Correct Answer: C
Rationale: The client is not absorbing nutrients adequately as evidenced by the cachexia and low protein levels. (A normal total serum protein level is 6.0-8.0 g/dl.) TPN will promote a positive nitrogen balance in this client who is unable to digest and absorb nutrients adequately.
Question 4 of 5
Initial postoperative nursing care for an infant who has had a pyloromyotomy would initially include
Correct Answer: C
Rationale: Post-operatively, the initial feedings are clear liquids in small quantities to provide calories and electrolytes.
Question 5 of 5
The nurse is preparing to administer a dose of morphine sulfate to a client with postoperative pain. The client reports nausea. The nurse should
Correct Answer: C
Rationale: Nausea is a common side effect of morphine, and administering an antiemetic beforehand (if ordered) prevents discomfort while allowing pain relief. Administering without addressing nausea (
A) is inappropriate, holding the dose (
B) delays pain control, and dilution (
D) is incorrect for IV morphine.