NCLEX Questions, NCLEX Trainer Test 6 Questions, NCLEX-PN Questions, Nurselytic

Questions 156

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 6 Questions

Extract:

A student nurse obtaining an infant's vital signs.


Question 1 of 5

Which of the following actions should the student nurse complete FIRST?

Correct Answer: C

Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) inappropriate to use probe to take axillary temperature (2) should count for a full minute (3) correct-respirations should be counted for one full minute prior to arousing the infant with a temperature probe or stethoscope (4) after infant is stimulated, crying may interfere with accurate evaluation of respirations

Extract:


Question 2 of 5

Which play activity is most appropriate for a 15-month-old with a cyanotic heart defect?

Correct Answer: B

Rationale: A mobile is a passive activity suitable for a 15-month-old with a cyanotic heart defect, as it avoids exertion, so B is correct. Push-and-pull toys , shape sorters , and pounding boards require more physical effort.

Extract:

A client with pneumonia.


Question 3 of 5

Which of the following nursing observations would indicate a therapeutic response to the treatment?

Correct Answer: C

Rationale: Strategy: Determine which answer choice indicates an improved respiratory status. (1) validates the continued presence of the infection (2) validates the continued presence of the infection (3) correct-sputum characteristics indicate a decrease in the pneumonia; is supported by respiratory status (4) does not substantiate the status of the infection

Extract:

An adult woman is admitted to an acute locked psychiatric unit one month prior to an election.


Question 4 of 5

Which of the following responses by the nurse is BEST?

Correct Answer: B

Rationale: Strategy: Determine the outcome of each answer choice. (1) psychiatric patients do not forfeit their constitutional rights (2) correct-patient can vote by absentee ballot (3) can vote by absentee ballot (4) not the nurse's responsibility

Extract:


Question 5 of 5

The nurse is assisting a client with deep breathing and coughing exercises following abdominal surgery. What instruction is most appropriate for the nurse to give the client?

Correct Answer: B

Rationale: Splinting the incision reduces pain and supports effective deep breathing and coughing, preventing postoperative complications.

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