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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free PN NCLEX Practice Questions Questions

Extract:

You're filling in as a substitute school nurse. When an 11-year-old child with an earache and sore throat reports to the nurse's office, you inspect the tympanic membrane using an otoscope.


Question 1 of 5

Which color suggests a normal eardrum?

Correct Answer: C

Rationale: A normal eardrum appears pearly gray.

Extract:


Question 2 of 5

A 4-year-old child with Down syndrome is admitted to the hospital with pneumonia. She has a heart murmur and appears to be in respiratory distress. Her mother asks why her child has a heart murmur. What is the best nursing response?

Correct Answer: D

Rationale: Congenital heart defects, like ventricular septal defects, are common in Down syndrome, and pneumonia may amplify a murmur due to increased cardiac workload.

Question 3 of 5

The school nurse is teaching a group of preschool mothers about poison prevention in the home. Which of the following statements, if made by a mother to the nurse, indicates that further teaching is necessary?

Correct Answer: B

Rationale: Inducing vomiting after ingesting hydrocarbons like lighter fluid is contraindicated due to the risk of aspiration, which can cause severe lung damage.
Choice A is correct (Ipecac dosing is appropriate), choice C is accurate (dilution can help), and choice D is true (locked storage prevents poisoning). Further teaching is needed for choice B.

Question 4 of 5

The intent of the Patient Self Determination Act (PSDA) of 1990 is to:

Correct Answer: B

Rationale: The PSDA promotes advance decision-making for medical care, encouraging clients to plan before a crisis. It does not set a federal standard or focus solely on legal control or education. Coordinated Care

Extract:

The nurse doing a newborn assessment counts the infant's cord vessel.


Question 5 of 5

In a normal infant there are:

Correct Answer: C

Rationale: There are three vessels: one vein (carries oxygenated blood to the fetus) and two arteries (return deoxygenated blood to the placenta) in a normal umbilical cord.

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