NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to?
Correct Answer: C
Rationale: The measurement and recording of vital signs may be delegated to UAP. This falls under the umbrella of routine task with stable clients. Other considerations for delegation of care to UAP would be: Who is capable and is the least expensive worker to do each task?
Question 2 of 5
A client is receiving chemotherapy for cancer and develops thrombocytopenia. What should the nurse include in the client's plan of care because of the thrombocytopenia?
Correct Answer: C
Rationale: Thrombocytopenia increases bleeding risk; avoiding injections prevents hematomas or hemorrhage. Positioning, fluid limits, or exercise don't address bleeding risk.
Extract:
Which of the following can be considered balanced diet?
Question 3 of 5
Peanut butter sandwich, apple, and milk.
Correct Answer: A
Rationale: A balanced diet consists of carbohydrates, protein, and fat. A peanut butter sandwich, apple, and milk provide a balanced mix of these nutrients.
Extract:
Question 4 of 5
The nurse is preparing a 5 year-old for a scheduled tonsillectomy and adenoidectomy. The parents are anxious and concerned about the child's reaction to impending surgery. Which nursing intervention would best prepare the child?
Correct Answer: B
Rationale: Explain the surgery 1 week prior to the procedure. This allows the child time to process and understand the upcoming surgery.
Question 5 of 5
The nurse is assessing a 78-year-old woman. The woman says she has some bladder discomfort and urinary frequency. She also says, 'I mind the cold so, but I don't seem to shiver. I don't have much energy these days.' Her temperature is 98.9°F, pulse is 76, respirations are 20, and blood pressure is 140/88. Which findings are of most concern to the nurse and need to be further evaluated?
Correct Answer: C
Rationale: Bladder discomfort, frequency, and fatigue may indicate a urinary tract infection or other systemic issue, requiring evaluation. Vital signs are normal, and shivering/cold sensitivity is less urgent.