NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:
Correct Answer: C
Rationale: Cyanosis of the hands and feet (acrocyanosis) is common in newborns and may result in a 1-point deduction from a perfect Apgar score of 10.
Extract:
A nurse is administering a shot of Vitamin K to a 3-month-old infant.
Question 2 of 5
Which of the following target areas is the most appropriate?
Correct Answer: C
Rationale: The vastus lateralis is the most appropriate location for intramuscular injections in infants due to its large muscle mass and lack of major nerves.
Extract:
Question 3 of 5
The RN delegates the task of taking vital signs of all the clients on the medical-surgical unit to an unlicensed assistive personnel (UAP). Specific written and verbal instructions are given to not take a post-mastectomy client's blood pressure on the left arm. Later as the RN is making rounds, the nurse finds the blood pressure cuff on that client's left arm. Which of these statements is most immediately accurate?
Correct Answer: D
Rationale: The UAP is responsible for carrying out the activity correctly once directions have been clearly communicated especially if given verbally and in writing.
Question 4 of 5
A 15 month-old child comes to the clinic for a follow-up visit after hospitalization for treatment of Kawasaki Disease. The nurse recognizes that which of the following scheduled immunizations will be delayed?
Correct Answer: A
Rationale: MMR. Medical management of Kawasaki involves administration of immunoglobulins. Measles, mumps, rubella (MMR) is a live virus vaccine, and its administration should be delayed to ensure the body’s ability to form antibodies.
Extract:
During the second phase of bum recovery, the nurse anticipates that the client will exhibit
Question 5 of 5
high serum potassium level.
Correct Answer: B
Rationale: An increased urinary output is a sign of adequate hydration during the second phase of burn recovery.