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NCLEX PN Test Questions

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Question 1 of 5

Social support systems include all of the following except:

Correct Answer: D

Rationale: Coping skills and verbalization are personal strategies, not social support systems, which involve external resources like help lines, emotional assistance, or groups. Psychosocial Integrity

Question 2 of 5

An adult is receiving daily doses of hydrocortisone. Which comment by the client indicates a need for further instruction?

Correct Answer: D

Rationale: Hydrocortisone does not require high salt or potassium restriction; this suggests misunderstanding, possibly confusing with other conditions. Morning dosing, not stopping abruptly, and taking with food are correct.

Question 3 of 5

All of the following are common reasons that nurses are reluctant to delegate except:

Correct Answer: C

Rationale: Confidence in subordinates encourages delegation, while lack of confidence, desire for control, or perfectionism are common barriers to delegating tasks. Coordinated Care

Question 4 of 5

A 12-month-old is found to have a moderately elevated blood lead level. Which of the following is the most serious concern for this child?

Correct Answer: C

Rationale: Elevated lead levels primarily cause neurocognitive impairment in children, affecting brain development and leading to learning and behavioral issues. Gastrointestinal bleeding, growth retardation, and liver injury are less common or less severe consequences.

Question 5 of 5

A 55-year-old male client has a 16-Fr indwelling urethral catheter with a 5-mL balloon inserted to relieve postoperative urinary retention. The nurse observes urine leaking from the insertion site, past the catheter. What is the nurse's first action?

Correct Answer: A

Rationale: Checking the catheter and tubing first ensures there are no kinks, blockages, or improper placements causing the leak, which is a non-invasive and logical initial step. Irrigation or removal requires further assessment, and notifying the RN is premature without initial troubleshooting.

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