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NCLEX PN Practice Questions Questions

Extract:


Question 1 of 5

The nurse finds a person unresponsive on the floor. What is the initial nursing action?

Correct Answer: B

Rationale: Assessing respirations and pulse determines if CPR is needed, per ACLS guidelines. Compressions, positioning, or breathing are premature without confirming unresponsiveness and absence of pulse/breathing.

Question 2 of 5

A client with a fracture of the radius had a plaster cast applied 2 days ago. The client complains of constant pain and swelling of the fingers. The first action of the nurse should be

Correct Answer: C

Rationale: A deterioration in neurovascular status indicates the development of compartment syndrome (elevated tissue pressure within a confined area) which requires immediate pressure-reducing interventions.

Extract:

Laboratory reference ranges
Hemoglobin
1-6 years: 9.5-14.0 g/dL
(95-140 g/L)


Question 3 of 5

The nurse is caring for a 5-year-old client with sickle cell disease who is experiencing an episode of acute pain. The client has shortness of breath, nausea with vomiting, and severe generalized body and joint pain. Which of the following findings requires immediate intervention?

Correct Answer: A

Rationale: An enlarged spleen may indicate splenic sequestration, a life-threatening complication requiring immediate intervention.

Extract:


Question 4 of 5

The nurse is reviewing new medication prescriptions for assigned clients. The nurse should clarify the prescription for?

Correct Answer: C

Rationale: Transdermal fentanyl is typically reserved for chronic pain, not acute postoperative pain, and requires clarification.

Question 5 of 5

The parents of a 2-year-old client ask how they can help their child cope with hospitalization. Which of the following suggestions should the nurse give the parents? Select all that apply.

Correct Answer: A,C,E

Rationale: Maintaining home routines, parental presence, and reassuring the child about the cause of illness help reduce anxiety and promote coping during hospitalization.

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