NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a post-op colostomy client. The client begins to cry, saying 'I'll never be attractive again with this ugly red thing.' What should be the first action taken by the nurse?
Correct Answer: D
Rationale: Encourage the client to discuss her feelings about the colostomy. Assessing the client's personal feelings about the stoma and colostomy care is essential to identify specific concerns before offering solutions.
Extract:
At age 3 months, an infant is admitted to the hospital for a cleft lip repair.
Question 2 of 5
Postoperative nursing care should include:
Correct Answer: B
Rationale: Meticulous care of the suture line is necessary to prevent infection and to provide the best cosmetic effect post-cleft lip repair.
Extract:
Question 3 of 5
The clinic nurse is discussing health promotion with a group of parents. A mother is concerned about Reye's Syndrome, and asks about prevention. Which of these demonstrates appropriate teaching?
Correct Answer: D
Rationale: The link between aspirin use and Reye’s Syndrome has not been confirmed, but evidence suggests that the risk is sufficiently grave to include the warning on aspirin products.
Question 4 of 5
The physician has ordered an oil retention enema and a cleansing enema for a client. How should the nurse plan to carry out these orders?
Correct Answer: B
Rationale: Oil retention enemas soften hardened stool, and cleansing enemas remove it. Administering the oil retention enema first allows time for stool softening, followed by the cleansing enema to evacuate it. Mixing or reversing the order is ineffective, and spacing over days is unnecessary.
Question 5 of 5
A toddler is diagnosed with a dislocated right shoulder and a simple fracture of the right humerus. Which behavior most strongly suggests that the child's injuries stem from abuse?
Correct Answer: D
Rationale: Not crying when moved most strongly suggests child abuse. A victim of child abuse typically doesn't complain of pain, even with obvious injuries, for fear of further displeasing the abuser. Trying to sit up on the stretcher is a typical client response. Trying to move away from the nurse indicates fear of strangers, which is normal in a toddler. Difficulty answering the nurse's questions is expected in a toddler because of poorly developed cognitive skills.