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NCLEX PN Test Questions

Extract:


Question 1 of 5

Quality is defined as a combination of all of the following except:

Correct Answer: B

Rationale: Quality care involves meeting or exceeding standards and expectations, not merely performing at a minimal level, which is insufficient for quality. Coordinated Care

Extract:

Vital signs
Temperature 98.6 F (37 C)
Heart rate 146/min
Respirations 42/min
O2 saturation or SpO2 98%


Question 2 of 5

A nurse auscultates a loud cardiac murmur on a newborn with suspected trisomy 21 (Down syndrome). A genetic screen and an echocardiogram are scheduled that day. The neonate’s vital signs are shown in the exhibit. What would be an appropriate action for the nurse to complete next?

Correct Answer: B

Rationale: Documenting the murmur is appropriate as genetic screening and an echocardiogram are already scheduled, indicating the provider is aware. Calling the provider is unnecessary, knee-chest position is for specific heart defects, and oxygen is not indicated without respiratory distress.

Extract:


Question 3 of 5

A 15-year-old client with iron deficiency anemia and a ruptured ectopic pregnancy needs a blood transfusion prior to surgery. The client's mother is a Jehovah's Witness and refuses to sign the blood permit. Which nursing action is most appropriate?

Correct Answer: D

Rationale: The nurse must respect the mother's refusal due to religious beliefs and notify the physician to discuss alternatives or legal options, such as court intervention for a minor in a life-threatening situation. Giving blood without permission is unethical and illegal. Coaxing may be coercive, and a 15-year-old typically cannot provide legal consent.

Question 4 of 5

An adult has a substance abuse problem. Which statement, if made by the client, indicates the best understanding of the problem?

Correct Answer: D

Rationale: Calling a support group during distress shows understanding of ongoing recovery needs, leveraging resources to maintain sobriety.

Question 5 of 5

The nurse is talking with the family of an 18 months-old newly diagnosed with retinoblastoma. A priority in communicating with the parents is

Correct Answer: A

Rationale: Discuss the need for genetic counseling. The hereditary aspects of this disease are well documented. While the parents focus on the needs of this child, they should be aware that the risk is high for future offspring.

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A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:
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A 5-year old with a suspected ventricular septal defect is scheduled for a cardiac catheterization. The child's mother asks the nurse, 'Why does my little girl have to have that tube put into her heart?' The nurse should tell the mother that the cardiac catheterization will:

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