NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
The maximum safe height at which the container of fluid can be held when administering an enema is:
Question 1 of 5
The maximum safe height at which the container of fluid can be held when administering an enema is:
Correct Answer: C
Rationale: 45 cm (18 inches) ensures safe pressure to avoid bowel injury during an enema.
Extract:
Question 2 of 5
A nurse is caring for a patient who has recently been diagnosed with fibromyalgia and COPD. Which of the following tasks should the nurse delegate to a nursing assistant?
Correct Answer: A
Rationale: Nursing assistants should be competent on all transfers.
Question 3 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:
When reviewing the immunization schedule for a 12-month-old, the nurse would expect that the infant had been previously immunized against:
Question 4 of 5
Pertussis, tetanus, polio, and measles.
Correct Answer: B
Rationale: The recommended immunization schedule for infants includes administration of the combined diphtheria, pertussis, and tetanus vaccine and the trivalent oral polio virus at ages 2, 4, and 6 months.
Extract:
Question 5 of 5
A client who is immobilized secondary to traction is complaining of constipation. Which of the following medications should the nurse expect to be ordered?
Correct Answer: D
Rationale: Colace, a stool softener, is appropriate for constipation in immobilized clients, as it promotes softer stools without systemic effects. The other options are NSAIDs, not laxatives. Basic Care and Comfort