NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 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 2 of 5
A client with mania is busy investigating the unit and overseeing the activities of others. She is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:
Correct Answer: A
Rationale: High-calorie, portable foods accommodate the client's high energy and distractibility, ensuring adequate nutrition. Other options are less practical or effective.
Extract:
A nurse assigned to the pediatric unit has the following patients.
Question 3 of 5
Which one should be given priority?
Correct Answer: B
Rationale: Altered consciousness in an infant is a critical sign requiring immediate assessment for neurological issues.
Extract:
A patient is suspected of having thrombophlebitis of the left lower extremity.
Question 4 of 5
During the initial assessment the nurse should specifically observe the patient for:
Correct Answer: A
Rationale: Edema is a hallmark sign of thrombophlebitis due to venous obstruction.
Extract:
Question 5 of 5
The nurse collects data on a client shortly after kidney transplant surgery. Which postoperative finding must the nurse report to the physician immediately?
Correct Answer: D
Rationale: Because kidney transplantation carries the risk of transplant rejection, infection, and other serious complications, the nurse should monitor the client's urinary function closely. A decrease from the normal urine output of 30 ml/hour is significant and warrants immediate physician notification. The other options are normal data collection findings.