NCLEX Questions, NCLEX PN Exam Practice Test Questions, NCLEX-PN Questions, Nurselytic

Questions 163

NCLEX-PN

NCLEX-PN Test Bank

NCLEX PN Exam Practice Test Questions

Extract:


Question 1 of 5

The nurse is caring for a client who had a colostomy two days ago. Which comment the client makes indicates a readiness to learn about caring for the colostomy?

Correct Answer: B

Rationale: Asking about the bag's purpose shows curiosity and readiness to learn about colostomy care. Other comments reflect denial, frustration, or lack of engagement with care.

Question 2 of 5

The nurse is obligated to make a report for which situations? Select all that apply.

Correct Answer: B,D,E

Rationale: Reporting is mandatory for suicides, suspected elder abuse, and impaired providers. Reporting to employers or spouses violates confidentiality.

Question 3 of 5

Which actions by a nurse are reportable to the state board of nursing? Select all that apply.

Correct Answer: A,C,D

Rationale: Administering medication without a prescription, falsifying documentation, and stealing narcotics are reportable to the state board. Tardiness and leaving a shift are not typically reportable.

Extract:

1700
Found client lying on floor next to bed. Client states, "I fell out of bed while reaching for my eyeglasses and hit my head on the bedside table." Client is alert and oriented to time, place, person, and situation. Denies pain, dizziness, or nausea. No visible injuries. Assisted back to bed. Neurological vital signs within normal limits (see assessment flow sheet). Client instructed to use call bell for assistance. Will continue to monitor. __________RN

1710: Health care provider (HCP) notified of fall. Prescribed CT of head STAT. ___________RN

1740: No change in neurologic status. Client to CT via gurney. Report filed per policy. __________RN

1810: Client returned from CT. No change in neurologic status. Reinforced use of call bell, and client demonstrated understanding. Will continue to monitor. __________RN


Question 4 of 5

The nurse finds a client on the floor in the client's room. Based on the documentation shown in the exhibit, the nurse made an incorrect entry in the client's medical record at what time?

Correct Answer: C

Rationale: Without specific exhibit details, 1740 is assumed incorrect based on context, possibly due to a documentation error related to the fall. Rationale is limited without exhibit.

Extract:


Question 5 of 5

The mother of a newborn child is very upset. The child has a cleft lip and palate. The type of crisis this mother is experiencing is:

Correct Answer: C

Rationale: The arrival of the imperfect child that the mother had not envisioned places the mother in a situational crisis.

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