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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free NCLEX-PN Practice Questions Questions

Extract:

The nurse has performed the initial assessments of 4 patients admitted with an acute episode of asthma.


Question 1 of 5

Which assessment finding would cause the nurse to call the health provider immediately?

Correct Answer: B

Rationale: Acute asthma is characterized by expiratory wheezes. Sudden cessation of wheezing is an ominous sign indicating that the small airways are collapsed, requiring immediate intervention.

Extract:


Question 2 of 5

The nurse is caring for a client who had a cholecystectomy 24 hours ago. The client reports nausea and has not had a bowel movement since surgery. The nurse should

Correct Answer: A

Rationale: Nausea post-cholecystectomy may be due to anesthesia or pain medication, and an ordered antiemetic addresses this symptom promptly. Ambulation (
B) and high-fiber diet (
C) promote bowel movement but don’t address nausea, and notification (
D) is unnecessary unless symptoms persist or worsen.

Question 3 of 5

A nurse is delegating tasks to a nursing assistant. Which of the following tasks is appropriate to delegate?

Correct Answer: C

Rationale: Assisting with ambulation is within a nursing assistant’s scope, promoting safety and mobility. Medication administration, sterile procedures, and care planning require licensed nurse skills.

Extract:

A mother with cystic fibrosis child is receiving health teaching from the nurse regarding danger signs of her illness.


Question 4 of 5

The mother has best understood the teaching when she says:

Correct Answer: C

Rationale: Respiratory distress, indicated by tiredness, is a critical danger sign in cystic fibrosis.

Extract:

When giving health and safety hazards on a mother with a 3-month-old infant, the nurse should emphasize that


Question 5 of 5

tiny objects must be removed from crib.

Correct Answer: A

Rationale: By 4 months of age, infants pick up anything within reach and put it in their mouth, making tiny objects in the crib a choking hazard.

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