NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
A 78-year-old client is admitted for open reduction of a wrist fracture. That night she is found wandering in the hallway near the fire alarm. When the nurse calls the client's name, the client says, 'If you come any closer to me I'll pull this fire alarm. You're a drug addict. I saw you taking drugs out of the cabinet.'
Question 1 of 5
The best response by the nurse would be:
Correct Answer: A
Rationale: This response addresses safety calmly without escalating the situation.
Extract:
Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia.
Question 2 of 5
Incidence of Leukemia is higher in children. Pathophysiology of infection in Leukemia is due primarily to:
Correct Answer: C
Rationale: Elevated WBC with impaired function (neutropenia) predisposes to infections in leukemia.
Extract:
Question 3 of 5
Which play activity is most appropriate for a 3-year-old with a hip spica cast?
Correct Answer: C
Rationale: A coloring book and crayons allow a 3-year-old in a hip spica cast to engage in a stationary, creative activity, so C is correct. Barbie dolls , toy telephone , and puzzles may be difficult due to the cast's restrictions.
Question 4 of 5
A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:
Correct Answer: D
Rationale: Morton's neuroma is a benign mass in a digital nerve of the foot, causing pain and difficulty walking. The other conditions involve different foot pathologies. Basic Care and Comfort
Question 5 of 5
Which nursing action is essential when providing continuous enteral feeding?
Correct Answer: A
Rationale: Elevating the head of the bed at least 30 degrees during enteral feeding minimizes the risk of aspiration and allows the formula to flow into the client's intestines. When such elevation is contraindicated, the client should be positioned on the right side. The nurse should give enteral feedings at room temperature to minimize GI distress.
To limit microbial growth, the nurse should hang only the amount of formula that can be infused in 8 hours.