NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is talking about diaper changes with a client who is 48 hours postpartum. The client states, 'I cannot change my baby's diaper as well as you can. Will you change it for me?' Which of the following responses would be appropriate for the nurse to make?
Correct Answer: B
Rationale: Supporting the client while they change the diaper builds confidence and promotes independence.
Question 2 of 5
The nurse is caring for a client newly prescribed crutches. Which finding indicates the need for further teaching?
Correct Answer: A
Rationale:
Torn axillary pads can cause discomfort and injury, indicating a need for replacement and further teaching.
Question 3 of 5
The nurse is caring for a 75 year old client in congestive heart failure. Which finding suggests that digitalis levels should be reviewed?
Correct Answer: A
Rationale: Extreme fatigue. Extreme fatigue and weakness are common, early signs of digitalis toxicity, which would be confirmed by a high blood serum level of digitalis.
Question 4 of 5
Following a motor vehicle crash, the nurse stops to help a victim who has a laceration with spurting blood. The nurse giving reasonable assistance could be held liable despite Good Samaritan laws in which situations? Select all that apply.
Correct Answer: A,C
Rationale: Accepting money negates Good Samaritan protection, and failure to apply direct pressure could be considered negligent care.
Question 5 of 5
An 8-month-old infant is scheduled for balloon angioplasty of a congenital pulmonic stenosis in the cardiac catheterization laboratory. Which finding could possibly delay the procedure and should be reported?
Correct Answer: D
Rationale: Severe diaper rash may increase infection risk during catheterization, potentially delaying the procedure.