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NCLEX PN Practice Test Questions

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Question 1 of 5

The nurse is caring for a 9-year-old client with cystic fibrosis who is scheduled to receive pancrelipase at 1200. The client states, 'I am not hungry now. I want to eat lunch in a few hours.' Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Pancrelipase aids digestion in cystic fibrosis and should be taken with food. A small snack (
C) ensures enzyme effectiveness while respecting the child’s appetite. Omitting (
A) or halving (
B) the dose risks malabsorption, and holding (
D) delays nutrition.

Question 2 of 5

A client is brought to the emergency room following a motor vehicle accident. When assessing the client one-half hour after admission, the nurse notes several physical changes. Which finding would require the nurse's immediate attention?

Correct Answer: C

Rationale: tracheal deviation. The deviated trachea is a sign that a mediastinal shift has occurred. This is a medical emergency.

Question 3 of 5

A mother noticed a large abdominal mass when helping her 3-year-old child bathe. The child is taken to the physician and admitted to the hospital after an intravenous pyelogram (IVP) confirms the diagnosis of Wilms' tumor. Which nursing action is essential to include in the nursing care plan?

Correct Answer: B

Rationale: Avoiding abdominal palpation prevents potential tumor rupture or metastasis in Wilms' tumor, a critical precaution. Urine straining, dialysis, or poor prognosis are inappropriate.

Question 4 of 5

The nurse prepares a client for discharge following a vasectomy. The client asks, 'When can I have sexual intercourse with my wife without using a condom?' What is the best response by the nurse?

Correct Answer: D

Rationale: A vasectomy requires confirmation of azoospermia via semen analysis, typically after 6-12 weeks or 15-20 ejaculations, to ensure sterility. Alternative birth control (
C) is needed until this confirmation. Immediate unprotected intercourse (
A) risks pregnancy, and 6 months (
B) is unnecessarily long.

Question 5 of 5

The nurse is caring for a client with hyperparathyroidism who had a parathyroidectomy 4 hours ago. Which technique should the nurse use to check for complications in this client?

Correct Answer: C

Rationale: Post-parathyroidectomy, hypocalcemia is a potential complication due to reduced parathyroid hormone levels. Trousseau’s sign (
C), elicited by inflating a BP cuff to induce carpal spasm, indicates hypocalcemia, a critical complication requiring prompt intervention. The wrist hyperextension test (
A) is unrelated to hypocalcemia, and the Romberg test (
B) assesses balance, not relevant to this scenario.

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