NCLEX Questions, PN NCLEX Practice Exam Questions, NCLEX-PN Questions, Nurselytic

Questions 164

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PN NCLEX Practice Exam Questions

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Question 1 of 5

The mother of a 2 year-old hospitalized child asks the nurse's advice about the child's screaming every time the mother gets ready to leave the hospital room. What is the best response by the nurse?

Correct Answer: C

Rationale: Gradually increasing the time of separation can help the child adjust to the mother's absence, reducing anxiety and screaming over time.

Question 2 of 5

The nurse is preparing an injection of IM haloperidol from a glass ampule. Which of the following actions by the nurse are appropriate? Select all that apply.

Correct Answer: B,C

Rationale: Breaking the ampule away from the body (
B) and disposing in a sharps container (
C) are safe practices. An 18-gauge needle (
A) is too large, injecting air (
D) is unnecessary, and resting the needle on the rim (E) risks contamination.

Question 3 of 5

The nurse is preparing to irrigate the wound of a 7-year-old client who sustained a laceration while on a playground. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A,D,E

Rationale: Analgesics (
A), checking vaccinations (
D) for tetanus risk, and continuous flushing (E) are appropriate. Cleaning from contaminated to clean (
B) is incorrect, and a 27-gauge needle (
C) is too small for irrigation.

Question 4 of 5

The nurse is assessing a 7-year-old client who was recently admitted with nausea, vomiting, severe right lower quadrant pain, and an elevated WBC count. Which of the following statements by the client would be a priority to follow up?

Correct Answer: C

Rationale: Resolution of pain (
C) in suspected appendicitis may indicate perforation, a surgical emergency, requiring urgent follow-up. Fatigue (
A), hunger (
B), and dislike of hospitals (
D) are less critical.

Question 5 of 5

The nurse is preparing to give an adult a subcutaneous injection of heparin. What should the nurse check prior to giving the medication?

Correct Answer: D

Rationale: Partial thromboplastin time (PTT) monitors heparin's anticoagulant effect, ensuring safe administration by assessing bleeding risk.

Similar Questions

The nurse is with a client with obsessive-compulsive disorder who counts backwards several times each day. Which of the following statements by the client would indicate an improvement in the client's condition? Select all that apply.
The nurse is collecting data from a client with primary adrenal insufficiency (Addison disease). Which of the following findings is consistent with the condition?
The day shift nurse provides handoff of care report to the oncoming night shift nurse. Which of the following statements by the nurse are appropriate to include in the report? Select all that apply.
When rendering aid to a victim who appears to be choking, the nurse's first action should be to:
A 15-month-old continually turns his cup upside down and shakes milk from the spout. The mother is convinced that he does this on purpose and asks the nurse what she should do. The nurse's response should be guided by the knowledge that:

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