NCLEX-PN
Best NCLEX Next Gen Prep Questions
Extract:
Question 1 of 5
What is an appropriate nursing goal for a client at risk for nutritional problems?
Correct Answer: B
Rationale: Promoting healthy nutritional practices is an appropriate nursing goal for a client at risk for nutritional problems as it focuses on preventive measures to address the risk of nutritional issues.
Choice A is incorrect because providing oxygen is not related to addressing nutritional problems.
Choice C is incorrect as it involves treating the consequences rather than preventing nutritional problems.
Choice D is incorrect because increasing weight is only suitable if the client is underweight, not as a general preventive measure.
Question 2 of 5
All of the following factors, when identified in the history of a family, are correlated with poverty except:
Correct Answer: D
Rationale: The correct answer is 'low incidence of dental problems.' Dental problems are prevalent in families living in poverty due to the lack of preventive care and access to dental services. High infant mortality rate is closely correlated with poverty as it reflects various social determinants of health. Families in poverty may resort to frequent use of Emergency Departments due to limited access to primary care. Consulting with folk healers is also common among families in poverty as they might seek alternative and more accessible healthcare options. However, a low incidence of dental problems is less likely in families experiencing poverty.
Question 3 of 5
What is the most appropriate intervention for a client with suspected genitourinary trauma and visible blood at the urethral meatus?
Correct Answer: D
Rationale: A urologist consult is the most appropriate intervention for a client with visible blood at the urethral meatus and suspected genitourinary trauma. This specialist can evaluate the extent of the trauma and provide the necessary treatment. Foley catheter insertion (
Choice
A) and in-and-out catheter specimen for urinalysis (
Choice
B) are contraindicated in the presence of genitourinary trauma as they can worsen the injury. While a voided urine specimen for urinalysis (
Choice
C) may be ordered by the physician, it does not address the specific management needed for genitourinary trauma.
Therefore, a urologist consult is the best option in this scenario.
Question 4 of 5
Which of the following physical findings indicates that an 11-12-month-old child is at risk for developmental dysplasia of the hip?
Correct Answer: B
Rationale: The correct answer is 'not pulling to a standing position.' An 11-12-month-old child not pulling to a standing position may be at risk for developmental dysplasia of the hip. By this age, children typically pull to a standing position, and failure to do so should raise concerns. Refusal to walk is a broader observation and not specific to hip dysplasia. The Trendelenburg sign indicates weakness of the gluteus medius muscle, not hip dysplasia. The Ortolani sign is used to detect congenital subluxation or dislocation of the hip, which is different from developmental dysplasia of the hip.
Question 5 of 5
A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a:
Correct Answer: B
Rationale: The term 'strain' is the correct choice. A strain refers to the excessive stretching of a muscle or tendon, which aligns with a pulled ligament diagnosis. A sprain, on the other hand, involves ligament injury due to twisting motions. 'Subluxation' indicates a partial dislocation of a joint, not a pulled ligament. 'Dislocation' refers to the complete displacement of bones in a joint, which is not the appropriate term for a pulled ligament.