NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
Which of the following indicates failure of a ventriculoperitoneal shunt?
Correct Answer: A
Rationale: Projectile vomiting is a sign of increased intracranial pressure due to ventriculoperitoneal shunt failure, indicating obstruction or malfunction.
Extract:
Laboratory reference ranges
Hemoglobin
1-6 years: 9.5-14.0 g/dL
(95-140 g/L)
Question 2 of 5
The nurse is caring for a 5-year-old client with sickle cell disease who is experiencing an episode of acute pain. The client has shortness of breath, nausea with vomiting, and severe generalized body and joint pain. Which of the following findings requires immediate intervention?
Correct Answer: A
Rationale: An enlarged spleen may indicate splenic sequestration, a life-threatening complication requiring immediate intervention.
Extract:
Question 3 of 5
The nurse is reviewing with a client how to collect a clean catch urine specimen. What is the appropriate sequence to teach the client?
Correct Answer: A
Rationale: A clean catch urine is difficult to obtain and requires clear directions. Instructing the client to carefully clean the meatus, then void naturally with a steady stream prevents surface bacteria from contaminating the urine specimen. As starting and stopping flow can be difficult, once the client begins voiding it's best to just slip the container into the stream. Other responses do not reflect correct technique.
Question 4 of 5
The nurse is caring for the assigned clients on a pediatric inpatient unit. Which client is the priority?
Correct Answer: A
Rationale: Sudden unilateral arm weakness in a sickle cell crisis may indicate a stroke, a life-threatening emergency requiring immediate attention.
Question 5 of 5
A 1-year-old child who goes to day care is recovering from an episode of otitis media. Which intervention is most important for the nurse to reinforce to the parents in order to prevent recurrence?
Correct Answer: D
Rationale: Parental smoking increases the risk of recurrent otitis media due to secondhand smoke exposure.