NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is talking with the parent of a pediatric client with type 1 diabetes mellitus who has influenza. Which of the following statements by the parent would require follow-up?
Correct Answer: D
Rationale: Decreasing insulin during illness can lead to hyperglycemia or ketoacidosis, as insulin needs may increase.
Question 2 of 5
The nurse at an orthopedic joint clinic is assisting with the preparation of pre-operative teaching for clients scheduled for total hip replacement surgery. Which would be included in the teaching plan?
Correct Answer: C
Rationale: The client with joint hip replacement should avoid adduction of the legs and flexion of the hips greater than 90 degrees to ensure continued placement of the prosthetic joint. It is recommended for these clients to use recliners for seating instead of straight chairs, therefore A is incorrect. Commode seats will have to be raised and abduction of the legs is required, making B and D incorrect choices.
Question 3 of 5
The nurse is caring for several clients. When thinking about long-term goals, the nurse knows that which of these clients has the best prognosis?
Correct Answer: A
Rationale: Stage I Hodgkin's lymphoma has a high cure rate (over 90%) with treatment, offering the best prognosis compared to leukemia, osteosarcoma, or multiple myeloma.
Question 4 of 5
The nurse assists with data collection during a routine prenatal visit for a client at 36 weeks gestation. Which statement by the client is most concerning to the nurse?
Correct Answer: B
Rationale: Decreased fetal movement may indicate fetal distress and requires immediate evaluation.
Question 5 of 5
The nurse is assisting with the care of a client who is scheduled to receive an oxytocin infusion to induce labor. The nurse should recognize that oxytocin infusion can lead to
Correct Answer: B
Rationale: Oxytocin can cause uterine hyperstimulation, leading to fetal distress and potential cesarean delivery.