NCLEX Questions, NCLEX Trainer Test 9 Questions, NCLEX-PN Questions, Nurselytic

Questions 155

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 9 Questions

Extract:


Question 1 of 5

The nurse is caring for clients in outpatient surgery.

Correct Answer: C

Rationale: For a four-year-old, using dolls or puppets to demonstrate the procedure in simple terms is developmentally appropriate, addressing what the child will experience (see, hear, feel). Drawing pictures or reading books is better for school-aged children, and time concepts like one hour are not relatable to preschoolers.

Question 2 of 5

A nurse admits a 3 week-old infant to the special care nursery with a diagnosis of bronchopulmonary dysplasia. As the nurse reviews the birth history, which data would be most consistent with this diagnosis?

Correct Answer: D

Rationale: The infant received mechanical ventilation for 2 weeks. Bronchopulmonary dysplasia is often caused by prolonged mechanical ventilation.

Extract:

The nurse is caring for clients on a psychiatric unit and is suddenly faced with multiple issues.


Question 3 of 5

Which of the following situations require the nurse's IMMEDIATE attention?

Correct Answer: B

Rationale: Strategy: 'Require IMMEDIATE intervention' indicates that you are looking for the least stable situation. (1) should remove to quiet area, decrease environmental stimuli (2) correct-could indicate impending suicide, requires immediate follow-up (3) potential suicide is more immediate concern (4) command hallucination, potential suicide takes priority

Extract:


Question 4 of 5

A client is going to have an endoscopy performed. Which of the following is not a probable reason for an endoscopy procedure?

Correct Answer: B

Rationale: Bowel movement pain should be examined with a colonoscopy not an endoscopy.

Extract:

A 67-year-old man following a cardiac catheterization. Two hours after the procedure, the nurse checks the patient's insertion site in the antecubital space, and the patient complains that his hand is numb.


Question 5 of 5

The nurse should

Correct Answer: C

Rationale: Strategy: Answers are a mix of assessments and implementations. Does the assessment answer validate what is going on? No. Determine the outcome of each answer choice. (1) assumes that numbness is related to positioning of hand, not circulatory changes (2) part of assessment, but doesn't indicate status of circulation (3) correct-absent or weak pulse or numbness could indicate problem with circulation, anticoagulants and vasodilators may be ordered (4) assumes that numbness is related to immobility of fingers, not circulatory changes

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