NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Congenital hip dysplasia is suspected when the assessment data indicates which of the following in the newborn?
Question 1 of 5
Presence of Ortalani's click
Correct Answer: A
Rationale: The presence of Ortalani's click when legs are abducted and asymmetry of gluteal folds are signs of congenital hip dysplasia.
Extract:
Question 2 of 5
Which of the following nursing assessments for an infant is most valuable in identifying serious visual defects?
Correct Answer: A
Rationale: Red reflex test. A uniform red reflex rules out most serious defects of the cornea, lens, and vitreous chamber.
Question 3 of 5
The licensed practical nurse is preparing to administer an injection of vitamin K to a newborn. The nurse should administer the injection in the:
Correct Answer: B
Rationale: The vastus lateralis is the preferred site for newborn IM injections due to its large muscle mass and safety. Other sites are less developed or risk nerve damage.
Question 4 of 5
All of the following adults are admitted to the surgical unit. Which client should the nurse prepare for immediate surgery?
Correct Answer: C
Rationale: Severe right lower quadrant pain with elevated WBC suggests appendicitis, requiring immediate surgery to prevent rupture. Scapular pain (gallbladder), vaginal bleeding, or hernia are less urgent unless complicated.
Extract:
The day before a patient who has had a subtotal gastrectomy is to be discharged, the patient complains of perspiring and having epigastric discomfort about a half hour after eating lunch. The symptoms disappear within a few minutes.
Question 5 of 5
The nurse recognizes that the teaching about prevention is understood when the patient states, 'I can limit these symptoms by:
Correct Answer: D
Rationale: Small, low-carbohydrate meals reduce dumping syndrome symptoms post-gastrectomy.