NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is reinforcing discharge instructions to the parent of a child with Kawasaki disease. The nurse informs the parent that the presence of which symptom should be immediately reported to the health care provider?
Correct Answer: A
Rationale: Fever in Kawasaki disease may indicate persistent inflammation or complications, requiring immediate reporting.
Question 2 of 5
The nurse is monitoring a 12-month-old diagnosed with intussusception. Which findings should the nurse expect? Select all that apply.
Correct Answer: B,D,E
Rationale: Intussusception is characterized by a sausage-shaped mass, paroxysmal pain with knee-drawing, and 'currant jelly' stools.
Question 3 of 5
The nurse is caring for a client with chronic venous insufficiency. Which of the following findings would be consistent with the condition?
Correct Answer: D
Rationale: Brown, hardened skin (lipodermatosclerosis) is characteristic of chronic venous insufficiency due to hemosiderin deposition and fibrosis.
Question 4 of 5
A 2 month-old child has had a cleft lip repair. The selection of which restraint would require no further action by the charge nurse?
Correct Answer: A
Rationale: Elbow. The elbow restraint will prevent the child from touching the surgical site without hindering movement of other parts of the body.
Question 5 of 5
A client is admitted with a distended bladder due to the inability to void. The nurse obtains an order to catheterize the client, and is aware that gradual emptying is preferred over complete emptying because it reduces the
Correct Answer: B
Rationale: Potential for shock. Complete, rapid emptying can cause shock and hypotension due to sudden changes in the abdominal cavity.