NCLEX-PN
Practice NCLEX PN Questions Questions
Extract:
Question 1 of 5
While assessing the vital signs in children, the nurse should know that the apical heart rate is preferred until the radial pulse can be accurately assessed at about what age?
Correct Answer: B
Rationale: 2 years of age. A child should be at least 2 years of age to use the radial pulse to assess heart rate.
Question 2 of 5
The nurse working on a medical-surgical unit receives change-of-shift report on several clients. Which client should the nurse see first?
Correct Answer: D
Rationale: A fever of 100.9 F post-arteriovenous graft suggests possible infection, requiring immediate assessment. Cramping and minor bleeding are expected post-polypectomy, urinary hesitancy is common post-hernia repair, and straining is less urgent.
Question 3 of 5
In response to a call for assistance by a client in labor, the nurse notes that a loop of the umbilical cord protrudes from the vagina. What is the priority nursing action?
Correct Answer: C
Rationale: Immediate action is needed to relieve pressure on the cord, which puts the fetus at risk due to hypoxia. The knee-chest position accomplishes this. The exposed cord is covered with saline-soaked gauze, not reinserted.
Question 4 of 5
The practical nurse is assisting the registered nurse in creating a teaching plan for the parents of a child diagnosed with pediculosis capitis. Which instructions should be included in the teaching plan? Select all that apply.
Correct Answer: B,D,E
Rationale: For pediculosis capitis (head lice), soaking combs in boiling water , using a nit comb daily , and vacuuming furniture prevent reinfestation. Other children should be checked and treated if infested (A is incorrect), and pets do not require treatment as lice are human-specific.
Question 5 of 5
While sitting at the nurse's station, the nurse observes that a client uses a tissue to pick up magazines and change channels on the television. There has been no such behavior in the past. The nurse should:
Correct Answer: A
Rationale: Talking with the client assesses potential obsessive-compulsive behavior or anxiety. Gloves or removing tissues may escalate distress. Attention-seeking is an assumption without evidence.