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

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

PN NCLEX Practice Exam Questions

Extract:


Question 1 of 5

The nurse is caring for a client who is experiencing the cardiac rhythm in the ECG strip shown below. The nurse should recognize that the client is experiencing

Correct Answer: C

Rationale: Without the ECG strip, normal sinus rhythm (
C) is assumed for a stable client, characterized by regular P waves, QRS complexes, and a rate of 60-100 bpm. Other options indicate abnormal rhythms.

Question 2 of 5

The nurse is assessing a client in the emergency room. Which statement suggests that the problem is acute angina?

Correct Answer: A

Rationale: My pain is deep in my chest behind my breast bone. This describes the typical substernal pain of acute angina.

Question 3 of 5

The nurse is caring for a toddler with atopic dermatitis. The nurse should instruct the parents to

Correct Answer: D

Rationale: Wrap the child's hand in mittens or socks to prevent scratching. This prevents worsening of lesions and secondary infections.

Question 4 of 5

A 62-year-old client admitted to the telemetry unit after an acute myocardial infarction 3 days ago reports that the left calf is very tender and warm to the touch. Which nursing intervention is the priority?

Correct Answer: D

Rationale: Tenderness and warmth suggest deep vein thrombosis, so a neurovascular check (
D) is the priority to assess for complications. History (
A), ECG (
B), and vitals (
C) are secondary.

Question 5 of 5

A 15-month-old continually turns his cup upside down and shakes milk from the spout. The mother is convinced that he does this on purpose and asks the nurse what she should do. The nurse's response should be guided by the knowledge that:

Correct Answer: D

Rationale:
Toddlers explore spatial relationships through actions like shaking a cup, not necessarily to misbehave. Attention-seeking or punishment is less relevant.

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