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

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

NCLEX PN Practice Tests Questions

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Question 1 of 5

While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate attention?

Correct Answer: A

Rationale: Respiratory rate of 42. An elevated respiratory rate indicates potential airway obstruction, requiring urgent intervention.

Question 2 of 5

The nurse is providing pin site care for an adult who is in skeletal traction. What should the nurse do when providing pin site care?

Correct Answer: D

Rationale: Pin site care involves cleaning with soap and water to prevent infection and applying antibiotic ointment as ordered to reduce bacterial growth, per standard protocols.

Question 3 of 5

A nurse assigns a task to unlicensed assistive personnel. They state, 'We can’t do that.' Which is the best initial response for the nurse to make?

Correct Answer: A

Rationale: Asking the reason clarifies whether the refusal is due to scope, training, or other issues, promoting collaboration. Performing the task, ignoring, or lecturing avoids addressing the root cause.

Question 4 of 5

While caring for a child with Reye's syndrome, the nurse should give which action the highest priority?

Correct Answer: C

Rationale: Assess level of consciousness. An altered level of consciousness suggests increasing intracranial pressure related to cerebral edema.

Question 5 of 5

A practical nurse (PN) is assigned to care for a newborn with a neural tube defect. Which dressing, if applied by the PN, would need no further intervention by the charge nurse?

Correct Answer: B

Rationale: Before surgical closure, the sac is prevented from drying by the application of a sterile, moist, nonadherent dressing over the defect. Dressings are changed frequently to keep them moist.

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