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NCLEX PN Practice Test Questions

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Question 1 of 5

The nurse is reinforcing discharge teaching with the parent of a 6-year-old client who had a tonsillectomy 4 hours ago. The nurse should reinforce that it would be a priority to notify the health care provider if the client experiences

Correct Answer: C

Rationale: Frequent swallowing (
C) may indicate bleeding, a serious post-tonsillectomy complication requiring immediate reporting. Ear pain (
A), bad breath (
B), and low-grade fever (
D) are common and less urgent.

Question 2 of 5

The nurse is caring for a client with immune thrombocytopenic purpura. Which client statements indicate a need for further teaching? Select all that apply.

Correct Answer: C,E

Rationale: ITP increases bleeding risk. Using a safety razor (
C) risks cuts, and ibuprofen (E) inhibits platelets, both requiring further teaching. Soft toothbrush (
A), safe walking (
B), and docusate (
D) are appropriate.

Question 3 of 5

A 2-year old is hospitalized with gastroenteritis and dehydration. Which of the following methods is best for evaluating changes in skin turgor?

Correct Answer: A

Rationale: Pinching abdominal tissue while supine is the best method to assess skin turgor in a dehydrated child, as it reflects hydration status accurately.

Question 4 of 5

A woman in her third trimester complains of severe heartburn. What is appropriate teaching by the nurse to help the woman alleviate these symptoms?

Correct Answer: D

Rationale: Sleep with head propped on several pillows. Heartburn is a burning sensation caused by regurgitation of gastric contents. It is best relieved by sleeping position, eating small meals, and not eating before bedtime.

Question 5 of 5

The nurse is reinforcing home care instructions for the parents of a child diagnosed with rotavirus infection. Which of the following statements by the parents indicate that the teaching has been effective? Select all that apply.

Correct Answer: A,B,E

Rationale: Handwashing (
A), monitoring dehydration (
B), and recognizing transmission routes (E) are correct. Waiting to breastfeed (
C) delays nutrition, and alcohol wipes (
D) irritate skin, indicating ineffective teaching.

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