NCLEX Questions, NCLEX Trainer Test 1 Questions, NCLEX-PN Questions, Nurselytic

Questions 157

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 1 Questions

Extract:


Question 1 of 5

The nurse in the newborn nursery receives report from the previous shift. Which of the following infants should the nurse see FIRST?

Correct Answer: A

Rationale: A heart rate of 185 bpm indicates tachycardia (normal 120–160 bpm), suggesting distress or dehydration, requiring immediate assessment. Options B, C, and D are less urgent or normal.

Question 2 of 5

While explaining an illness to a 10 year-old, what should the nurse keep in mind about the cognitive development at this age?

Correct Answer: B

Rationale: They are able to think logically in organizing facts. The child in the concrete operations stage is capable of mature thought when organizing objects.

Question 3 of 5

The nurse is caring for a client who had a stroke and is experiencing dysphagia. Which of the following nursing actions is the PRIORITY?

Correct Answer: A

Rationale: Positioning the client upright during meals reduces the risk of aspiration, a life-threatening complication in dysphagia. Options B, C, and D are inappropriate: thin liquids increase aspiration risk, soft diets are secondary, and eating quickly exacerbates the problem.

Question 4 of 5

A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be kept on the client with a fractured mandible?

Correct Answer: A

Rationale: Wire cutters are essential for a fractured mandible with wiring, in case of emergency airway obstruction. Oral airway , pliers , and tracheostomy set are not standard.

Extract:

A client with symptoms supportive of a diagnosis of Guillain-Barré syndrome.


Question 5 of 5

The nurse knows that which of the following symptoms would be supportive of a diagnosis of Guillain-Barré syndrome?

Correct Answer: B

Rationale: Strategy: All parts of the answer choice must be correct in order for the answer to be correct. (1) relates to a CVA (2) correct-classic symptoms include respiratory failure and flaccidity due to paralysis of the muscles and urinary retention due to loss of sensation (3) relates to pulmonary edema (4) relates to peripheral nerve problems

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