NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is preparing a 5 year-old for a scheduled tonsillectomy and adenoidectomy. The parents are anxious and concerned about the child's reaction to impending surgery. Which nursing intervention would best prepare the child?
Correct Answer: B
Rationale: Explain the surgery 1 week prior to the procedure. This allows the child time to process and understand the upcoming surgery.
Question 2 of 5
A client is scheduled for an excretory urography at 10 a.m. An order states to insert a saline lock I.V. device at 9:30 a.m.. The client requests a local anesthetic for the I.V. procedure and the physician orders lidocaine-prilocaine cream (EMLA cream). The nurse should apply the cream at:
Correct Answer: A
Rationale: It takes up to 2 hours for lidocaine-prilocaine cream (EMLA cream) to reach its maximum effectiveness.
Therefore, if the cannulation is scheduled for 9:30 a.m., EMLA cream should be applied at 7:30 a.m. Applying EMLA at 6:30 a.m. is too early. The other time options are too late for the local anesthetic to be effective.
Question 3 of 5
Which statement made by the parents of a child who has sickle cell anemia indicates understanding of how to reduce the incidence of crises?
Correct Answer: B
Rationale: Adequate hydration prevents blood viscosity, reducing sickle cell crisis risk. Outdoor play is beneficial, aspirin is risky, and travel mode is irrelevant.
Extract:
When providing discharge teaching to a family with AIDS, the nurse should teach the family:
Question 4 of 5
When providing discharge teaching to a family with AIDS, the nurse should teach the family:
Correct Answer: C
Rationale: Normal dishwashing with hot soapy water is sufficient for AIDS patients, as HIV is not transmitted via dishes.
Extract:
Question 5 of 5
A nurse is teaching a patient about the use of an incentive spirometer. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Inhaling slowly and deeply through the mouthpiece maximizes lung expansion and prevents atelectasis. Forceful exhalation is incorrect, use is routine (not symptom-based), and holding breath is optional but not primary.