NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a 2 month-old infant with a congenital heart defect. Which of the following is a priority nursing action?
Correct Answer: A
Rationale: Infants with congenital heart defects are at increased risk for developing congestive heart failure. Infants with congestive heart failure have an increased metabolic rate and require additional calories to grow. At the same time, however, rest and conservation of energy for eating is important. Feedings should be smaller and every 3 hours rather than the usual 4 hour schedule.
Question 2 of 5
A 3-month-old child with developmental dysplasia of the hip (DDH) is being fitted for a Pavlik harness. Which statement made by the parent indicates a need for further instruction?
Correct Answer: B
Rationale: The harness straps should only be adjusted by a healthcare provider to ensure proper fit and treatment efficacy. Other statements reflect correct understanding of harness care.
Question 3 of 5
The nurse is talking about diaper changes with a client who is 48 hours postpartum. The client states, 'I cannot change my baby's diaper as well as you can. Will you change it for me?' Which of the following responses would be appropriate for the nurse to make?
Correct Answer: B
Rationale: Supporting the client while they change the diaper builds confidence and promotes independence.
Question 4 of 5
The nurse is talking with the parent of a pediatric client with type 1 diabetes mellitus who has influenza. Which of the following statements by the parent would require follow-up?
Correct Answer: D
Rationale: Decreasing insulin during illness can lead to hyperglycemia or ketoacidosis, as insulin needs may increase.
Question 5 of 5
The nurse is talking with a client with acne vulgaris who has a new prescription for isotretinoin. Which of the following statements by the client would require follow-up?
Correct Answer: C
Rationale: Vitamin A supplements can increase the risk of toxicity with isotretinoin, which is a vitamin A derivative.