NCLEX-PN
Best NCLEX Next Gen Prep Questions
Extract:
Question 1 of 5
When a client who is 25 years of age asks the nurse when she should seek fertility counseling, the best response by the nurse is:
Correct Answer: D
Rationale: The best response in this scenario is to offer immediate guidance while also indicating when fertility counseling should be sought. While
Choice A is technically correct as guidelines recommend seeking fertility counseling after 1 year of unprotected intercourse, it lacks providing immediate guidance.
Choice B suggests seeking counseling after 6-9 months, which is earlier than the standard recommendation of 1 year.
Choice C mentions the average time to conceive for someone of the client's age without addressing the client's current concern.
Therefore,
Choice D is the most appropriate response as it offers immediate guidance along with a plan for referral if needed.
Question 2 of 5
The nurse is assessing the dental status of an 18-month-old child. How many teeth should the nurse expect to examine?
Correct Answer: C
Rationale: An 18-month-old child should have approximately 12 teeth. In general, children begin dentition around 6 months of age. During the first 2 years of life, a quick guide to the number of teeth a child should have is as follows: Subtract the number 6 from the number of months in the age of the child. In this example, the child is 18 months old, so the formula is 18 - 6 = 12. The correct answer is 12.
Choice A (6) is incorrect as it does not consider the child's age.
Choices B (8) and D (16) are incorrect as they do not align with the dental development timeline and the specific age of the child in question.
Question 3 of 5
When evaluating a kinetic family drawing, which of the following nursing actions is most effective?
Correct Answer: D
Rationale: When evaluating a kinetic family drawing, the most effective nursing action is noting the omission of any family members. This approach helps healthcare providers gather crucial information about family dynamics. It is important to pay attention to what the child includes and omits in the drawing, as it can provide insights into underlying emotions and concerns.
Choices A, B, and C are not recommended actions for evaluating the drawing. Instructing the child to draw their family doing something or suggesting specific elements to include may bias the drawing, leading to misinterpretations. Discouraging the child from discussing the drawing can impede communication and the understanding of the child's perspective.
Question 4 of 5
A client with Kawasaki disease has bilateral congestion of the conjunctivae, dry cracked lips, a strawberry tongue, and edema of the hands and feet followed by desquamation of fingers and toes. Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?
Correct Answer: C
Rationale: Explaining the progression of the disease to the client and their family is the most appropriate nursing measure to promote a positive body image. By educating them about when symptoms are expected to improve and resolve, they can understand that there will be no permanent disruption in physical appearance that could negatively impact body image. While administering immune globulin intravenously may be part of the treatment for Kawasaki disease, it does not directly address body image concerns. Assessing the extremities for edema, redness, and desquamation every 8 hours is important for monitoring the disease but does not directly impact body image. Assessing heart sounds and rhythm is crucial for monitoring cardiac effects of Kawasaki disease but is not directly related to promoting a positive body image.
Question 5 of 5
How often should the intravenous tubing on total parenteral nutrition solutions be changed?
Correct Answer: A
Rationale: The correct answer is to change the intravenous tubing on total parenteral nutrition solutions every 24 hours. This frequency is necessary due to the high risk of bacterial growth associated with TPN solutions. Changing the tubing every 24 hours helps prevent contamination and bloodstream infections.
Choices B, C, and D are incorrect because waiting longer intervals increases the risk of introducing harmful bacteria into the patient's system, leading to potentially severe complications.