NCLEX Questions, NCLEX PN Test Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 164

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Question 1 of 5

The nurse is caring for a 5 year-old child whose left leg is in skeletal traction. Which of the following activities would be an appropriate diversional activity?

Correct Answer: C

Rationale: Playing hand held games. Immobilization with traction must be maintained until bone ends are in satisfactory alignment. Activities that increase mobility interfere with the goals of treatment.

Question 2 of 5

The nurse in the pediatric clinic is planning to reinforce postoperative teaching to parents. The nurse should talk with the parent of which child first?

Correct Answer: A

Rationale: A foreign object in the ear (
A) poses an immediate risk of injury or infection, requiring urgent attention. Ear pain post-adenotonsillectomy (
B) is common and less urgent. School clearance (
C) and returning to sports (
D) are non-emergent.

Question 3 of 5

The nurse is caring for a client receiving peritoneal dialysis. Which findings are essential for the nurse to report to the health care provider?

Correct Answer: A,B,E

Rationale: Cloudy outflow (
A), fever (
B), and tachycardia (E) suggest peritonitis, requiring immediate reporting. Oliguria (
C) is expected in renal failure, and pruritus (
D) is less urgent.

Question 4 of 5

The nurse answers a call light on a client not assigned to the nurse. The client, who was just admitted from the emergency department, requests a cup of coffee. What is the appropriate intervention?

Correct Answer: D

Rationale: Suggesting water (
D) is safe until dietary orders are confirmed. Coffee (A,
C) may be contraindicated, and waiting (
B) doesn't address the request.

Question 5 of 5

The nurse is teaching a client with dysrhythmia about the electrical pathway of an impulse as it travels through the heart. Which of these describes the normal pathway?

Correct Answer: D

Rationale: SA node, AV node, Bundle of His, Purkinje fibers. This is the normal pathway of an electrical impulse through the heart.

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