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
The nurse is supervising an unlicensed person who is giving oral care to an unconscious client. Which observation indicates that the unlicensed person needs further instruction?
Correct Answer: B
Rationale: An upright position risks aspiration in an unconscious client; lateral positioning with head turned prevents this, indicating a need for instruction.
Question 3 of 5
The nurse is caring for an older client who insists on having a 'hot toddy' laced with liquor at bedtime to help her sleep. How should the nurse respond in order to give culturally sensitive and appropriate care?
Correct Answer: A
Rationale: Exploring the cultural or personal significance of the hot toddy shows respect, fostering culturally sensitive care.
Question 4 of 5
The nurse discovers that the parents of a 2 year-old child continue to use an apnea monitor each night. The parents state: 'We are concerned about the possible occurrence of sudden infant death syndrome (SIDS).' In order to take appropriate action, the nurse must understand that
Correct Answer: D
Rationale: 95% of SIDS cases occur before 6 months of age. Peak age of SIDS occurrence is 2 to 4 months and 95% of cases occur by 6 months of age. It is the leading cause of death in infants 1 month to 1 year of age.
Extract:
A child sustains a fractured femur in a bicycle accident. However, the admission x-ray films reveal evidence of fractures of other long bones in various stages of healing.
Question 5 of 5
The nurse determines that this child should be assessed for:
Correct Answer: A
Rationale: Multiple fractures in various healing stages suggest non-accidental trauma, indicating child abuse.