NCLEX PN Practice Questions Questions

Question 1 of 5

The nurse is discussing management of nocturnal enuresis with the parent of a 10-year-old client who has had little response to behavioral interventions. The parent tells the nurse, 'My child wants to go to overnight camp in several months but is afraid of being teased by other children if an accident occurs.' Which of the following responses would be most appropriate for the nurse to make?

A. The condition will be resolved by then if you are consistent with bedtime routines.B. We can ask your child's health care provider about trying a medication that may be helpful.C. You could offer to send disposable training pants for your child to wear if needed.D. You should consider sending your child to day camp instead of overnight camp.

Correct Answer: B

Rationale: Medications like desmopressin may help manage enuresis for events like camp, addressing the child's concerns.

Question 2 of 5

An infant with Tetralogy of Fallot is discharged with a prescription for Lanoxin (digoxin) elixir. The nurse should instruct the mother to:

A. Administer the medication using a nippleB. Administer the medication using the calibrated dropper in the bottleC. Administer the medication using a plastic baby spoonD. Administer the medication in a baby bottle with 1 ounce of water

Correct Answer: B

Rationale: The calibrated dropper ensures accurate dosing of digoxin, which is critical due to its narrow therapeutic range. Other methods risk incorrect dosing.

Question 3 of 5

An adult who recently had an amputation has an above-the-knee prosthesis. Which nursing action will do the most to help the client adjust to the prosthesis?

A. Adjust the prosthesis for the client.B. Offer the client a cane or a walker for ease of movement.C. Place an 'at risk for fall' sign on the client's door.D. Allow the client to manage his own care.

Correct Answer: D

Rationale: Allowing self-management fosters independence and confidence with the prosthesis, promoting adjustment.

Question 4 of 5

The nurse is reviewing with a client how to collect a clean catch urine specimen. What is the appropriate sequence to teach the client?

A. Clean the meatus, begin voiding, then catch urine streamB. Void a little, clean the meatus, then collect specimenC. Clean the meatus, then urise the currentD. Void continuously and catch some of the urine

Correct Answer: A

Rationale: A clean catch urine is difficult to obtain and requires clear directions. Instructing the client to carefully clean the meatus, then void naturally with a steady stream prevents surface bacteria from contaminating the urine specimen. As starting and stopping flow can be difficult, once the client begins voiding it's best to just slip the container into the stream. Other responses do not reflect correct technique.

Question 5 of 5

The home health nurse is contributing to the plan of care for a 1-year-old client recently diagnosed with failure to thrive. Which of the following interventions should the nurse recommend including in the client's plan of care? Select all that apply.

A. Assess overall parenting skills and access to resourcesB. Observe both the client and the parents during feedingsC. Monitor the client's height, weight, and head circumferenceD. Ask the parents about the client's dietary intake over the past 24 hoursE. Discuss with the parents the need to insert a nasogastric tube for enteral feedings

Correct Answer: A,B,C,D

Rationale: Assessing parenting, observing feedings, monitoring growth, and reviewing intake identify causes of failure to thrive. Nasogastric tubes are not initially indicated.

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