NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
Which safety device is most restrictive for a client with dementia?
Correct Answer: D
Rationale: The goal of care for clients with dementia is to maintain the highest level of functioning. When restraints must be used, the least restrictive type of restraint possible should be used. A lap tray over a wheelchair severely limits the client's mobility and can cause injury if the client tries to get out of the wheelchair. A walker can be very helpful to clients with dementia as they commonly have unsteady gaits. Childproof locks are helpful in preventing accidental contact with harmful substances. An electronic monitoring system is an effective way of managing a client who wanders.
Extract:
Immunity by antibody formation during the course of a disease is:
Question 2 of 5
Active natural immunity.
Correct Answer: A
Rationale: In active natural immunity, the infected person's immune system responds to the invading organism by producing antibodies specific for the invader.
Extract:
Question 3 of 5
An infant has just returned from surgery for placement of a gastrostomy tube as an initial treatment for tracheoesophageal fistula. The mother asks: 'When can the tube can be used for feeding?' The nurse's best response would be which of these comments?
Correct Answer: C
Rationale: The stomach contents and air must be drained first.' After surgery for gastrostomy tube placement, the catheter is left open and attached to gravity drainage for 24 hours or more.
Question 4 of 5
The nurse is caring for a client with a nasogastric tube in place. Assessment of the aspirate reveals a pH of 2.0. Which is the appropriate action?
Correct Answer: A
Rationale: This finding is within normal range for gastric aspirate of 0-4. Answers B, C, and D would not be appropriate or necessary due to the normal reading, so they're incorrect.
Question 5 of 5
The nurse should teach parents of small children that the most common type of first-degree burn is:
Correct Answer: D
Rationale: Sunburn is the most common first-degree burn in children due to frequent sun exposure without adequate protection. Education on sunscreen use is critical. Safety and Infection Control