NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a manic client in the seclusion room, and it is time for lunch. It is MOST appropriate for the nurse to take which of the following actions?
Correct Answer: D
Rationale: For safety, a manic client in seclusion should remain in the seclusion room. Serving the meal there ensures the client receives nutrition at the regular time without compromising safety. Taking the client to the dining room (
A) risks escalation, and withholding the meal (B,
C) is inappropriate.
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:
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 3 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.
Extract:
Question 4 of 5
The nurse is caring for a school-aged child with a diagnosis of secondary hyperparathyroidism following treatment for chronic renal disease. Which of the following lab data should receive priority attention?
Correct Answer: A
Rationale: Calcium and phosphorus levels will be elevated until the client is stabilized.
Question 5 of 5
A client with moderate pregnancy-induced hypertension (PIH) is a poor candidate for regional anesthesia during labor and delivery. If she were to receive this form of anesthesia, she might experience:
Correct Answer: A
Rationale: In a client with PIH, uteroplacental perfusion may be inadequate and gas exchange may be poor. Regional anesthesia increases the risk of hypotension resulting from sympathetic blockade, possibly causing fetal and maternal hypoxia. Hypertension, seizures, and renal toxicity aren't associated with regional anesthesia.