NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The mother of a burned child asks the nurse to clarify what is meant by a third degree burn. The best response by the nurse is
Correct Answer: C
Rationale: All layers of the skin were destroyed in the burn.' A third degree burn is a full thickness injury to dermis, epidermis and subcutaneous tissue.
Question 2 of 5
The nurse is to administer a tube feeding to an adult. What action is essential before administering the feeding?
Correct Answer: B
Rationale: Checking tube placement (e.g., pH testing, aspiration) prevents aspiration by ensuring the tube is in the stomach. Other actions are irrelevant or unsafe.
Question 3 of 5
The nurse is caring for an adolescent client who just had placement of an external fixation device for long-term stabilization of a fractured tibia. Which interventions should the nurse expect to implement when caring for this client? Select all that apply.
Correct Answer: C,D,E
Rationale: Notifying the RN of drainage or pain, performing neurovascular checks, and sterile pin care prevent complications like infection or neurovascular compromise. Tightening pins is not a nursing task, and bed rest is not always required, depending on the care plan.
Question 4 of 5
A 15-year-old client with iron deficiency anemia and a ruptured ectopic pregnancy needs a blood transfusion prior to surgery. The client's mother is a Jehovah's Witness and refuses to sign the blood permit. Which nursing action is most appropriate?
Correct Answer: D
Rationale: The nurse must respect the mother's refusal due to religious beliefs and notify the physician to discuss alternatives or legal options, such as court intervention for a minor in a life-threatening situation. Giving blood without permission is unethical and illegal. Coaxing may be coercive, and a 15-year-old typically cannot provide legal consent.
Question 5 of 5
The mother of a 4 month-old infant asks the nurse about the dangers of sunburn while they are on vacation at the beach. Which of the following is the best advice about sun protection for this child?
Correct Answer: D
Rationale: Infants under 6 months of age should be kept out of the sun or shielded from it. Even on a cloudy day, the infant can be sunburned while near water. A hat and light protective clothing should be worn.