NCLEX Questions, NCLEX-PN Practice Questions Free Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Free Questions

Extract:


Question 1 of 5

When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client's body should she measure?

Correct Answer: A

Rationale: Measuring from the corner of the mouth to the tragus of the ear ensures the oropharyngeal airway is the correct size to maintain an open airway without causing obstruction. Reduction of Risk Potential

Question 2 of 5

Which of the following observations best indicates to the nurse that a paraplegic client can adequately carry out activities of daily living at home after discharge?

Correct Answer: B

Rationale: Transferring into and out of a wheelchair is essential for a paraplegic to perform ADLs independently, as it enables mobility and access to other tasks. Shaving and brushing teeth (
A) and maneuvering the wheelchair (
C) are less critical, and meal preparation (
D) is not directly hindered by paraplegia.

Question 3 of 5

The nurse is assessing a healthy child at the 2 year check up. Which of the following should the nurse report immediately to the health care provider?

Correct Answer: A

Rationale: Height and weight percentiles vary widely. Significant discrepancies in growth percentiles may indicate underlying health issues requiring further evaluation.

Question 4 of 5

The nurse is caring for an adult who had abdominal surgery yesterday. When the nurse encourages the client to take some deep breaths and cough, the client tells the nurse, 'It hurts when I cough. I just can't do it.' What is the nurse's best response?

Correct Answer: C

Rationale: Splinting the incision with a pillow reduces pain during coughing, promoting effective lung expansion to prevent pneumonia.

Extract:

A mother reported that her son is throwing up each time she feeds him.


Question 5 of 5

What would be the best assessment question the nurse would ask?

Correct Answer: D

Rationale: Jelly-like stool is an indication of a gastrointestinal problem, which could be related to the vomiting. Assessing for this symptom helps identify potential underlying issues.

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