NCLEX PN - Predictor Test Questions With Complete
Solutions
A 10 year old client with autism spectrum disorder is
hospitalized for a diagnostic workup. Which is the most
appropriate nursing action? Correct Answers Giving the client
a schedule of daily activities
A 4-year old is diagnosed with Duchenne muscular dystrophy.
Which nursing teaching is most appropriate to reinforce for this
child's parents? Correct Answers Remove throw rugs from the
home
A client a hx of a seizure disorder has a seizure while sitting in a
chair. Which nursing interventions are appropriate during the
seizure activity? Correct Answers - Administer oxygen as
needed if client becomes cyanotic
- Move the client from chair to the floor to prevent a fall.
- Record the duration of seizure activity for documentation.
A client comes to the emergency department after being bitten
by a bat. The nurse observes 2 small, nondraining puncture
wounds resembling pinpricks on the fingertip. Which action
should the nurse implement first? Correct Answers Scrub the
wound with povidone-iodine solution or soap and water
A client is at 28 weeks gestation with suspected preeclampsia.
Which are potential signs/symptoms related to this syndrome?
Correct Answers - 2+ pitting edema
- 300 mg/24 hr protein urine
- Headache and blurry vision
,A client is diagnosed with septic arthritis of the knee. What
manifestations does the nurse expect to find? Correct Answers
- Fever
- Joint swelling with effusion
- Limited range of motion
- Moderate to severe pain
A client is in cardiac arrest. and resuscitation efforts are in
progress when the client's spouse arrives. The client's spouse
insists on coming into the room. How should the nurse respond?
Correct Answers Allow the spouse into the room and provide a
chair
A female client is visiting the clinic for an annual well-woman
examination. The client reports having had sex with women.
Which question will help the nurse determine the client's risk for
sexually transmitted infections? Correct Answers What barrier
methods do you and your partner use?
A nurse assists a student nurse in formulating a care plan for
plan for a nonverbal hospice client who demonstrates
restlessness and facial grimacing during repositioning. Which
statements by the student nurse indicate a correct understanding
of the goals of end-of-life care? Correct Answers - I can
observe the client's agitation as an indicator of client's pain level
- I should continue to explain interventions I am performing
even though the client is unresponsive
- I will ask the family if they would like to hold the client's hand
while I administer pain medication
, - Managing pain rather than treating disease is the priority goal
for this client.
A nurse in the emergency department is caring for a client
should the nurse see first? Correct Answers Client with
myasthenia gravis who has a fever and increasing difficulty
swallowing.
A nurse is caring for a client 1 day postoperative craniotomy.
Which nursing actions are appropriate to prevent increased
intracranial pressure? Correct Answers - Administer stool
softener
- Dim lights when not providing care
- Maintain body in midline position
A nurse is performing cardiopulmonary resuscitation (CPR) on
an adult at a swimming pool. A bystander brings the automated
external defibrillator (AED). The nurse notes that the victim is
wet, lying in a small pool of water, and wearing a transdermal
medication patch on the upper right chest. What is the most
appropriate action at this time? Correct Answers Remove the
transdermal patch and wipe the chest dry before using the AED
A pregnant client in the third trimester completes an intake form
for a clinic visit. The nurse understands that which signs and
symptoms warrant further investigation? Correct Answers -
Copious amounts of watery, clear vaginal discharge
- Dysuria and right flank pain
- Headache and blurred vision
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