NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client in the emergency department who presents with a complaint of fatigue and shortness of breath. Which physical assessment findings if noted by the nurse warrants a need for follow up?
Correct Answer: C
Rationale: A reddish purple mark on the neck (e.g., bruising or petechiae) with fatigue and shortness of breath may indicate a hematologic or cardiovascular issue, requiring follow-up. Reddened sclera, scalp flaking, or rashes are less urgent and unrelated to the primary symptoms.
Question 2 of 5
A child with tetralogy of Fallot visits the clinic several weeks before planned surgery. The nurse should give priority attention to
Correct Answer: A
Rationale: Assessment of oxygenation. Tetralogy of Fallot involves defects that reduce pulmonary blood flow, leading to cyanosis and polycythemia, which can cause neurologic complications if oxygenation is inadequate.
Extract:
After paracentesis, the nurse is doing the best action when she
Question 3 of 5
takes patient's BP.
Correct Answer: D
Rationale: Monitoring vital signs post-paracentesis detects complications like hypotension or bleeding.
Extract:
You're performing an otoscopic examination on a 6-year-old child who comes to the nurse's office with an earache and a fever.
Question 4 of 5
In which direction should you pull his auricle to straighten the ear canal?
Correct Answer: C
Rationale: Pulling the auricle up and back straightens the ear canal in children over 3.
Extract:
Question 5 of 5
An 18-month old is scheduled for a cleft palate repair. The usual type of restraints for a child with a cleft palate repair are:
Correct Answer: A
Rationale: Elbow restraints prevent the child from touching the surgical site while allowing some movement. Full arm or wrist restraints are too restrictive. Mummy restraints are used in other contexts.