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

Questions 163

NCLEX-PN

NCLEX-PN Test Bank

NCLEX PN Exam Practice Test Questions

Extract:


Question 1 of 5

The nurse is auscultating an elderly bedridden client's breath sounds and hears crackles. What is the best interpretation of this finding?

Correct Answer: C

Rationale: Crackles in a bedridden elderly client suggest fluid in the lungs or atelectasis, which deep breathing can help clear. It's not normal, not immediately life-threatening, and oxygen is premature without further assessment.

Question 2 of 5

A mother telephones the clinic and says 'I am worried because my breast-fed 1 month-old infant has soft, yellow stools after each feeding.' The nurse's best response would be which of these?

Correct Answer: A

Rationale: In breast-fed infants, stools are frequent and yellow to golden, and vary from soft to thick liquid in consistency. No change in feedings is indicated.

Question 3 of 5

A nurse is planning to complete a physical examination of a toddler. Which approach is an appropriate intervention by the nurse?

Correct Answer: A

Rationale: Parental involvement reduces toddler anxiety during exams. Removing clothing first, visible equipment, or strict head-to-toe order may increase distress.

Question 4 of 5

The client has a prolonged prothrombin time. What question is important to ask the client when interpreting this information?

Correct Answer: B

Rationale: Excessive alcohol consumption can impair liver function, prolonging prothrombin time by reducing clotting factor production, a key question to assess.

Extract:

Laboratory reference ranges
WBC
5000–10,000/mm³
(5–10 × 10⁹/L)


Question 5 of 5

The nurse is caring for 4 clients. Which client should the nurse see first?

Correct Answer: A

Rationale: Weak pulses and mottled skin suggest vascular compromise, a life-threatening complication requiring immediate attention. The other conditions are less urgent.

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