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

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

NCLEX PN Practice Test Questions

Extract:


Question 1 of 5

The nurse is caring for a client with immune thrombocytopenic purpura. Which client statements indicate a need for further teaching? Select all that apply.

Correct Answer: C,E

Rationale: ITP increases bleeding risk. Using a safety razor (
C) risks cuts, and ibuprofen (E) inhibits platelets, both requiring further teaching. Soft toothbrush (
A), safe walking (
B), and docusate (
D) are appropriate.

Question 2 of 5

The nurse is talking with the parent of a 15-month-old client who is scheduled to receive the varicella vaccine. Which of the following statements would be appropriate for the nurse to make? Select all that apply.

Correct Answer: A,C,D

Rationale: The varicella vaccine may cause a low-grade fever (
A) or a rash at the injection site (
C) as common side effects. A second dose (
D) is required at 4-6 years for full immunity. Aspirin (
B) is contraindicated in children due to Reye’s syndrome risk. Other vaccines (E) can be given concurrently, per CDC guidelines, unless contraindicated.

Question 3 of 5

The nurse is reviewing new medication prescriptions for a client with an acute exacerbation of asthma. Which of the following prescriptions should the nurse clarify?

Correct Answer: B

Rationale: Potassium chloride (
B) is not indicated for asthma exacerbation unless hypokalemia is documented, requiring clarification. Albuterol (
A), methylprednisolone (
D) treat asthma, and enoxaparin (
C) may prevent thrombosis in immobile patients.

Question 4 of 5

A 2-year old is hospitalized with gastroenteritis and dehydration. Which of the following methods is best for evaluating changes in skin turgor?

Correct Answer: A

Rationale: Pinching abdominal tissue while supine is the best method to assess skin turgor in a dehydrated child, as it reflects hydration status accurately.

Question 5 of 5

Assessment of a client with a history of stroke reveals that the client understands and follows commands but answers questions with incorrect word choices. The nurse documents the presence of which communication deficit?

Correct Answer: A

Rationale: Aphasia (
A) is a language disorder causing difficulty with word choice or expression, common in stroke affecting language centers. The client’s ability to follow commands but use incorrect words suggests expressive aphasia. Apraxia (
B) affects motor planning, dysarthria (
C) impairs speech articulation, and dysphagia (
D) involves swallowing difficulties, none of which match the described deficit.

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