NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
At the well-baby clinic, the nurse follows certain sequence of the baby's assessment
Question 1 of 5
The nurse follows certain sequence of the baby's assessment that includes:
Correct Answer: D
Rationale: Assessing temperature first avoids influencing it, followed by weight, respiratory rate, and heart rate for a comprehensive evaluation.
Extract:
Question 2 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.
Extract:
The nurse notes that a patient exhibit the characteristic gait associated with Parkinson's disease.
Question 3 of 5
When recording on the patient's chart, the nurse should describe this gait as:
Correct Answer: C
Rationale: Parkinson's disease causes a shuffling gait due to bradykinesia and rigidity.
Extract:
Question 4 of 5
The nurse is caring for a dark-skinned client hospitalized with hepatitis. The nurse can best observe the presence of jaundice in the client by assessing the client's:
Correct Answer: C
Rationale: The sclera is the most reliable site to assess jaundice in dark-skinned clients, as bilirubin deposition is visible in the whites of the eyes.
Extract:
Following a head injury a patient develops a deficiency in anti diuretic hormone (ADH).
Question 5 of 5
Normally secretion of ADH
Correct Answer: A
Rationale: Reabsorption of sodium and water in the tubules decreases urinary output and retains body fluids, preventing diuresis.