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

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

NCLEX PN Practice Questions Questions

Extract:


Question 1 of 5

Which of the following signs is highly suggestive of impaired hearing in an infant?

Correct Answer: B

Rationale: Absence of babbling by 7 months is a red flag for hearing impairment, as infants typically begin vocalizing in response to sounds. Other signs are less specific to hearing.

Question 2 of 5

The nurse auscultates the heart sounds of a 77-year-old client with chronic heart failure. Which heart sound should the nurse document?

Correct Answer: C

Rationale: An S3 heart sound is commonly associated with heart failure due to fluid overload and ventricular dysfunction.

Question 3 of 5

A client is scheduled for a cataract extraction. Preoperatively, 1% atropine is instilled into the client's right eye. The nurse knows that this drug would be contraindicated if the client also had which of the following conditions?

Correct Answer: D

Rationale: Atropine, an anticholinergic, increases intraocular pressure, worsening glaucoma. Bradycardia, hypothyroidism, or diabetes are not contraindications for ocular atropine.

Question 4 of 5

The clinic nurse is collecting data on a client at 22 weeks gestation during a prenatal visit. Which finding is most concerning?

Correct Answer: B

Rationale: Lisinopril is contraindicated in pregnancy due to the risk of fetal harm and requires immediate discontinuation.

Question 5 of 5

The nurse is caring for a client diagnosed with active pulmonary tuberculosis. Which elements of transmission-based precautions are required for the nurse when providing routine care? Select all that apply.

Correct Answer: C,D

Rationale: Active pulmonary tuberculosis requires airborne precautions, including hand hygiene and an N95 respirator. A surgical mask is insufficient.

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