NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Baby Larry was born with Down's syndrome.
Question 1 of 5
When performing physical assessment, the nurse should carefully evaluate the infant's:
Correct Answer: A
Rationale: Cardiac anomalies often accompany other genetic problems such as Down syndrome. 30 to 40% of these infants have congenital heart defects.
Extract:
Question 2 of 5
The nurse is supervising the staff providing care for an 18-month-old hospitalized with hepatitis A. The nurse determines that the staff's care is appropriate if which of the following is observed?
Correct Answer: A
Rationale: Hepatitis A requires contact precautions for diapered patients due to fecal-oral transmission, necessitating a private room. Removing toys (
B) risks spreading contamination, a high-fat diet (
C) is inappropriate, and standard precautions alone (
D) are insufficient.
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 3 of 5
The nurse appropriately removes obstruction in the chest tube by which of the following?
Correct Answer: B
Rationale: Milking gently dislodges clots without causing excessive negative pressure.
Extract:
You are taking the history of a 14-year-old girl who has a BMI of 18. The girl reports of inability to eat, induced vomiting and severe constipation.
Question 4 of 5
Which of the following would you most likely suspect?
Correct Answer: B
Rationale: Inability to eat, induced vomiting, and low BMI suggest anorexia nervosa.
Extract:
Question 5 of 5
The nurse is preparing to boost a client up in bed. She instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?
Correct Answer: D
Rationale: Using a trapeze reduces shearing forces (opposing forces that cause layers of skin to move over each other, stretching and tearing capillaries and, eventually, resulting in necrosis), which increase the risk of pressure ulcer development. They can occur as clients slide down in bed or when they're pulled up in bed.
To reduce shearing forces, the nurse should instruct the client to use an overbed trapeze, place a draw sheet under the client to move the client up in bed, and keep the head of the bed no higher than 30 degrees. The risks of friction, impaired circulation, and localized pressure aren't decreased with trapeze use.