NCLEX Questions, NCLEX PN Practice Tests Questions, NCLEX-PN Questions, Nurselytic

Questions 164

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Question 1 of 5

The father of an 8 month-old infant asks the nurse if his child's vocalizations are normal for his age. Which of the following would the nurse expect at this age?

Correct Answer: B

Rationale: Imitation of sounds. Eight-month-olds typically imitate sounds like 'da-da' as part of language development.

Question 2 of 5

A 3 year-old child is treated in the emergency department after ingestion of 1 ounce of a liquid narcotic. What action should the nurse perform first?

Correct Answer: C

Rationale: Check the mouth and radial pulse. Assessing airway, breathing, and circulation is the first step in treating toxic ingestion to stabilize the client.

Question 3 of 5

The nurse is reinforcing teaching about nutrition with the parents of a 6-year-old client with cystic fibrosis. Which recommended diet should the nurse include?

Correct Answer: A

Rationale: Cystic fibrosis requires a high-calorie, high-protein diet to support growth and compensate for malabsorption. Other diets do not meet the increased nutritional demands.

Question 4 of 5

The nurse in the long-term care facility discovers a client with dementia wandering in the hallway during the night. Which of the following statements would be most appropriate for the nurse to make?

Correct Answer: C

Rationale: Orienting the client and gently redirecting them to their room is calming and safe. Questioning, warning, or instructing may confuse or agitate a client with dementia.

Question 5 of 5

The nurse is giving home care to an elderly client with angina pectoris and Type 2 diabetes mellitus. Which observation is of most concern and should be reported immediately?

Correct Answer: A

Rationale: Chest discomfort in a client with angina suggests possible cardiac ischemia, requiring immediate reporting to prevent myocardial infarction. Brown spots, toenail pain, or exertional dyspnea are less urgent.

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