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Questions 164

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NCLEX PN Practice Test Questions

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Question 1 of 5

To maintain Bryant's traction, the nurse must make certain that the child's:

Correct Answer: B

Rationale: Bryant's traction requires hips slightly elevated and legs at a right angle to the bed to align the femur properly and reduce pressure on the pelvis.

Question 2 of 5

The nurse is making a home visit to an adult who had a cataract extraction yesterday. Which observation indicates that the client needs more instruction?

Correct Answer: C

Rationale: Bending over post-cataract surgery increases intraocular pressure, risking complications; this indicates a need for further instruction on activity restrictions.

Question 3 of 5

The nurse is planning care for all of the following clients. Which client should be cared for first?

Correct Answer: B

Rationale: The 75-year-old post-prostatectomy client's request to remove the catheter and urgency to urinate suggest potential catheter obstruction or bladder irritation, which could lead to complications like infection or bladder damage. This requires immediate assessment and intervention, taking priority over routine dressing changes, scheduled mobility, or pain management.

Question 4 of 5

The nurse enters the room of a client who had major abdominal surgery 1 week ago and notes dehiscence and evisceration of the surgical incision. The nurse should immediately place the client in the

Correct Answer: A

Rationale: Low Fowler with knees bent (
A) reduces abdominal tension, preventing further evisceration while awaiting surgical intervention. Prone (
B), supine flat (
C), or side-lying (
D) increase strain or risk organ protrusion.

Question 5 of 5

The practical nurse on the mental health unit is planning care with the registered nurse. Which client should be seen first?

Correct Answer: B

Rationale: Suicidal ideation with a plan (
B) poses an immediate safety risk, requiring urgent assessment despite one-to-one observation. Bulimia (
A) and schizophrenia (
D) behaviors need monitoring but are less acute. OCD refusal (
C) is a lower priority, as it does not indicate immediate harm.

Similar Questions

The nurse on the mental health unit is talking with a client with schizophrenia. Which of the following statements by the client would indicate that the client is experiencing a delusion of reference?
The nurse is talking with a client with stable angina who has a prescription for sublingual nitroglycerin. Which of the following statements by the client would require follow-up?
A client diagnosed with trichomonal vaginal infection (trichomoniasis) is prescribed metronidazole. Which directions are essential for the nurse to reinforce? Select all that apply.
The nurse is caring for a client with anorexia nervosa. Which of the following findings would be consistent with the condition? Select all that apply.
A client on hospice home care is taking sips of water but refusing food. Family members appear distressed and insist that the personal care worker 'force feed' the client. What is the priority nursing action?

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