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PN NCLEX Practice Exam Questions

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Question 1 of 5

The nurse is caring for a 10-year-old client with sickle cell disease who is experiencing an episode of acute pain. Which of the following diversional activities would be appropriate for the nurse to offer the client?

Correct Answer: B

Rationale: Reading a book (
B) is a calm, stationary activity suitable for pain management. Puzzles (
A) may require movement, walking (
C) could worsen pain, and puppets (
D) may be too childish for a 10-year-old.

Question 2 of 5

The nursing assistant is caring for an adult who has a fractured femur and is in Buck's extension traction awaiting surgery. The nurse is observing the nursing assistant administer morning care. Which action by the nursing assistant needs correction?

Correct Answer: D

Rationale: Turning the client on the side disrupts Buck's traction alignment, which requires constant pull. Weights should stay in place, head turning is safe, and bed-making direction is irrelevant.

Question 3 of 5

Which procedures are appropriate for the nurse to use when obtaining an adult client's blood for a laboratory test? Select all that apply.

Correct Answer: A,B,C

Rationale: Avoiding the mastectomy side (
A), limiting attempts to two (
B), and drawing proximal to an IV (
C) are correct. A 15-degree angle (
D) is for IVs, not phlebotomy, and capillary samples avoid the finger pad center (E).

Question 4 of 5

The nurse is caring for a client who is experiencing the cardiac rhythm in the ECG strip shown below. The nurse should recognize that the client is experiencing

Question Image

Correct Answer: C

Rationale: Without the ECG strip, normal sinus rhythm (
C) is assumed for a stable client, characterized by regular P waves, QRS complexes, and a rate of 60-100 bpm. Other options indicate abnormal rhythms.

Question 5 of 5

The nurse has taught the parents of a 6-year-old client with nephrotic syndrome. Which of the following statements by the parents would require follow-up?

Correct Answer: A

Rationale: Encouraging play with others (
A) may expose the child to infections, risky in nephrotic syndrome due to immunosuppression. Monitoring urine (
B), low-salt diet (
C), and reporting swelling (
D) are correct.

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