NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
The most sensitive and easily quantifiable measure of circulatory status in a child is
Question 1 of 5
The most sensitive and easily quantifiable measure of circulatory status in a child is
Correct Answer: C
Rationale: Capillary refill time is a quick, sensitive indicator of perfusion in children.
Extract:
Question 2 of 5
Which of the following might be an appropriate nursing diagnosis for an epileptic client?
Correct Answer: B
Rationale: Epilepsy increases the risk of injury due to seizures, which can cause falls or trauma. The other diagnoses are not directly related to epilepsy. Reduction of Risk Potential
Question 3 of 5
After sustaining a closed head injury and numerous lacerations and abrasions to the face and neck, a five-year-old child is admitted to the emergency room. The client is unconscious and has minimal response to noxious stimuli. Which of the following assessments, if observed by the nurse three hours after admission, should be reported to the physician?
Correct Answer: B
Rationale: Clear fluid draining from the ear suggests cerebrospinal fluid (CSF) leakage, indicating a rupture of the meninges, which poses a risk of meningitis or other complications in a head injury. This must be reported immediately. Eyelid edema (
A) and minor bleeding (
C) are less urgent, and withdrawal to pain (
D) is consistent with the initial assessment.
Question 4 of 5
For a client with suspected appendicitis, the nurse should expect to find abdominal tenderness in which quadrant?
Correct Answer: C
Rationale: Appendicitis typically causes tenderness in the lower-right quadrant (McBurney's point) due to the appendix's anatomical location. Physiological Adaptation
Question 5 of 5
A victim of domestic violence states, 'If I were better, I would not have been beat.' Which feeling best describes what the victim may be experiencing?
Correct Answer: C
Rationale: Self-blame. Victims often internalize blame, believing their behavior causes the abuse, which is a common misconception.