NCLEX-PN
Practice NCLEX PN Questions Questions
Extract:
Question 1 of 5
What socioeconomic indicators would the nurse identify as risk factors for a 2-month-old infant to develop failure to thrive (FTT)? Select all that apply.
Correct Answer: B,C,D
Rationale: Risk factors for FTT include unemployment limiting resources, caregiver cognitive disabilities impairing care, and social/emotional isolation reducing support. Working parents and unmarried status are not direct risks.
Question 2 of 5
The physician has ordered a sterile urine specimen to be collected from a client who has a Foley catheter. To obtain a sterile urine specimen, the nurse should:
Correct Answer: D
Rationale: Withdrawing from the catheter port with a syringe ensures a sterile specimen. Other methods risk contamination.
Question 3 of 5
A client with metabolic acidosis associated with diabetes mellitus is admitted to the unit. A blood glucose of $250 \mathrm{mg} / \mathrm{dl}$ is present. Which symptom will most likely accompany ketoacidosis?
Correct Answer: B
Rationale: Diabetic ketoacidosis (DK
A) causes dehydration due to hyperglycemia, leading to polydipsia (excessive thirst). Oliguria may occur later, perspiration is not specific, and tremors are more associated with hypoglycemia.
Question 4 of 5
The nurse observes a nursing assistant caring for an 86-year-old woman who had an open reduction/internal fixation for a fractured femur two days ago. Which action by the nursing assistant needs correction by the nurse?
Correct Answer: B
Rationale: Full weight-bearing two days post-femur fixation is inappropriate, risking hardware failure; partial or non-weight-bearing is typical. Abductor pillows, commodes, and self-bathing are appropriate.
Question 5 of 5
The clinic nurse is caring for several clients during well-child visits. The nurse should recognize which client as being the most at risk for anemia?
Correct Answer: C
Rationale: A preterm infant bottle-fed with breastmilk is most at risk for anemia due to preterm infants' lower iron stores and breastmilk's low iron content. Term breastfed infants (A,
D) have adequate stores initially, and iron-fortified formula prevents anemia.