NCLEX Questions, NCLEX PN Test Questions Questions, NCLEX-PN

Extract:

Question 1 of 5

The clinic nurse is planning to assess the visual acuity of a 6-year-old. Which method is the best way to assess visual acuity in this child?

Correct Answer: B

Rationale: The tumbling E chart (
B) is age-appropriate for a 6-year-old, who may not know letters. Allen cards (
A) are for younger children, Snellen at 10 ft (
C) is non-standard, and Ishihara (
D) tests color vision.

Question 2 of 5

There has been a large-scale community disaster and clients must be roomed together at the hospital. Who are appropriate roommates in light of infection risk principles?

A. A client diagnosed with varicella and a client with pertussis B. A client placed in an airborne infection isolation room (AIIR) and a client with heart failure C. A client receiving chemotherapy and a client with chronic obstructive pulmonary disease (COPD) coughing yellow sputum D. A client with pelvic inflammatory disease (PID) and a client with coffee ground emesis E. Two clients diagnosed with tuberculosis

Correct Answer: D

Rationale: PID and coffee ground emesis (
D) are non-infectious, making them suitable roommates. Varicella, pertussis, TB (A, E), and COPD with sputum (
C) pose infection risks. AIIR (
B) is for airborne infections, incompatible with heart failure.

Question 3 of 5

The nurse is reinforcing skin care guidelines for a client who is receiving external radiation therapy. Which of the following statements by the client would indicate a correct understanding of the teaching?

A. I will apply an ice pack to the treatment site if my skin begins to burn. B. I will rub baby oil on the site after each treatment to prevent dry skin. C. I will use extra measures to protect my skin from sun exposure. D. I will wash the treatment site with lukewarm water and mild soap. E. I will wear soft, loose-fitting clothing.

Correct Answer: C,D,E

Rationale: Sun protection (
C), gentle washing (
D), and loose clothing (E) are correct for radiation therapy skin care. Ice packs (
A) can damage skin, and baby oil (
B) may irritate or trap radiation.

Question 4 of 5

Which teaching instructions should the nurse reinforce to a client with advanced chronic obstructive pulmonary disease?

A. Follow a low-calorie diet B. Obtain a pneumococcal vaccine C. Report increased sputum D. Take iron to improve anemia E. Use an incentive spirometer

Correct Answer: B,C,E

Rationale: Pneumococcal vaccine (
B), reporting increased sputum (
C), and incentive spirometry (E) manage COPD. A high-calorie diet, not low-calorie (
A), is needed. Iron (
D) is only indicated for confirmed anemia.

Question 5 of 5

The nurse is caring for a client with overflow urinary incontinence related to diabetic neuropathy. Which of the following interventions are appropriate?

A. Decrease fluid intake to 1 glass with each meal and at bedtime B. Encourage the client to bear down while attempting to void C. Inspect the perineal area for evidence of skin breakdown D. Measure postvoid residual volumes as prescribed E. Tell the client to wait 30 seconds after voiding and then attempt to void again

Correct Answer: C,D,E

Rationale: Inspecting for skin breakdown (
C), measuring postvoid residuals (
D), and double voiding (E) manage overflow incontinence. Restricting fluids (
A) risks dehydration, and bearing down (
B) may worsen incontinence.

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