NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
Which play activity is most appropriate for a 3-year-old with a hip spica cast?
Correct Answer: C
Rationale: A coloring book and crayons allow a 3-year-old in a hip spica cast to engage in a stationary, creative activity, so C is correct. Barbie dolls , toy telephone , and puzzles may be difficult due to the cast's restrictions.
Question 2 of 5
All of the following adults are admitted to the surgical unit. Which client should the nurse prepare for immediate surgery?
Correct Answer: C
Rationale: Severe right lower quadrant pain with elevated WBC suggests appendicitis, requiring immediate surgery to prevent rupture. Scapular pain (gallbladder), vaginal bleeding, or hernia are less urgent unless complicated.
Question 3 of 5
The nurse is to obtain an apical-radial pulse on a client. Which statement is true regarding obtaining an apical-radial pulse?
Correct Answer: C
Rationale: Apical-radial pulse requires simultaneous measurement by two people to detect a pulse deficit, ensuring accuracy in conditions like atrial fibrillation.
Question 4 of 5
Which of the following nursing assessments for an infant is most valuable in identifying serious visual defects?
Correct Answer: A
Rationale: Red reflex test. A uniform red reflex rules out most serious defects of the cornea, lens, and vitreous chamber.
Question 5 of 5
A 40-year-old woman is admitted in labor with high blood pressure, edema, and proteinuria. She is started on magnesium sulfate. The nurse caring for her should be sure to keep which drug at the bedside?
Correct Answer: A
Rationale: Magnesium sulfate, used for preeclampsia, can cause toxicity; calcium gluconate is the antidote, reversing respiratory depression or cardiac effects, and must be readily available.