NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The client with a colostomy does not feel that the irrigating solution has drained completely. The nurse can enhance the effectiveness of the colostomy irrigation by telling the client to:
Correct Answer: A
Rationale: Gentle abdominal massage can stimulate peristalsis and help the irrigation solution drain completely from the colostomy. Reducing solution or using a heating pad is not standard, and increasing oral intake is unrelated.
Question 2 of 5
The nurse prepares a 7-year-old client for an influenza injection. The nurse explains that the client will receive 'medicine under the skin,' and the client is visibly anxious. Which nursing intervention is appropriate?
Correct Answer: D
Rationale: Hiding the needle (
D) reduces anxiety. Counting (
A) may not distract enough, holding arms (
B) can increase fear, and denying pain (
C) is dishonest.
Question 3 of 5
A client diagnosed with acute glomerulonephritis has pitting edema in the lower extremities, a blood pressure of 170/80 mm Hg, and proteinuria. When the practical nurse is assisting in the development of a care plan for this client, which measurement is the most accurate indicator of fluid loss or gain and should therefore be included in the plan?
Correct Answer: B
Rationale: Daily weights (
B) are the most accurate for tracking fluid balance in glomerulonephritis. Blood pressure (
A), edema (
C), and intake/output (
D) are less precise.
Question 4 of 5
A pediatric client has been receiving Amoxil (amoxicillin) for acute otitis media. It is important the child receive all the medication. Which secondary disorder is associated with improper management of acute otitis media?
Correct Answer: B
Rationale: Improper management of acute otitis media can lead to mastoiditis, an infection of the mastoid bone that can result from untreated or inadequately treated ear infections. Answer A (cholesteatoma) is a possible complication but less directly associated with improper antibiotic management. Answer C (acoustic neuroma) is unrelated to otitis media. Answer D (presbycusis) is age-related hearing loss, not a complication of otitis media.
Question 5 of 5
Which of the following activities would be best tolerated by a client with muscular dystrophy?
Correct Answer: A
Rationale: Swimming is low-impact and supports muscles, making it the best activity for a client with muscular dystrophy, which causes muscle weakness.