NCLEX Questions, PN NCLEX Practice Exam Questions, NCLEX-PN Questions, Nurselytic

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

PN NCLEX Practice Exam Questions

Extract:


Question 1 of 5

The nursing assistant is caring for an adult who has a fractured femur and is in Buck's extension traction awaiting surgery. The nurse is observing the nursing assistant administer morning care. Which action by the nursing assistant needs correction?

Correct Answer: D

Rationale: Turning the client on the side disrupts Buck's traction alignment, which requires constant pull. Weights should stay in place, head turning is safe, and bed-making direction is irrelevant.

Question 2 of 5

The nurse is talking with a group of parents about puberty. The nurse should include that the first sign of puberty in clients of the male sex is

Correct Answer: C

Rationale: Testicular enlargement (
C) is the first sign of puberty in males, occurring before height increase (
A), muscle mass gain (
B), or penile growth (
D).

Question 3 of 5

The nurse is caring for assigned clients. The nurse should first assess the client who had a

Correct Answer: A

Rationale: Drowsiness and nausea 4 hours post-cholecystectomy (
A) may indicate complications like bleeding or anesthesia effects, requiring priority assessment. Pain (
B), minor drainage (
C), and pink urine (
D) are less urgent.

Question 4 of 5

The nurse inserts a small bore nasogastric (NG) tube and prepares to initiate enteral feedings for a hospitalized client with laryngeal cancer. Which action should the nurse take first?

Correct Answer: D

Rationale: Verifying NG tube placement with an x-ray (
D) is the first step to ensure safety before feedings or medications. Other actions follow confirmation.

Question 5 of 5

A client who is 2 days post-operative from an appendectomy requests medication for pain. The client's vital signs are as follows: pulse 96, respirations 30, BP 130/92. The nurse should:

Correct Answer: B

Rationale: Pain medication is appropriate for a post-op client with pain and stable vitals. Anxiety may contribute, but pain should be addressed first. Bleeding checks or rechecking vitals are unnecessary without specific indicators.

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