2024 PN NCLEX Questions

2024 PN NCLEX Questions Related

Review 2024 PN NCLEX Questions related questions and content

The nurse notes that a client in later adulthood has tremors of the hands. Based on this finding, what action should the nurse take?

  • A. Ask the healthcare provider about referring the client to a neurological specialist.
  • B. Obtain a prescription for a muscle relaxant.
  • C. Notify the healthcare provider immediately.
  • D. Document the findings.
Correct Answer: D

Rationale: When a nurse observes senile tremors, such as intentional tremor of the hands in a client in later adulthood, it is important to document the findings. Senile tremors are benign and a normal age-related occurrence. Referring the client to a neurological specialist (Choice A) is unnecessary as senile tremors do not require specialized neurological intervention. Prescribing a muscle relaxant (Choice B) is not indicated since senile tremors are benign and not typically treated with muscle relaxants. Notifying the healthcare provider immediately (Choice C) is unnecessary as senile tremors do not require urgent intervention. Therefore, the most appropriate action is to document the findings (Choice D) for the client's medical record and to establish a baseline for future assessments.

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A client can receive the Mumps, Measles, Rubella (MMR) vaccine if he or she:

  • A. is pregnant.
  • B. is immunocompromised.
  • C. is allergic to neomycin.
  • D. has a cold.
Correct Answer: D

Rationale: A client can receive the MMR vaccine if he or she has a cold without a fever since it does not preclude vaccination. Pregnant women and immunocompromised individuals cannot receive the MMR vaccine because the rubella component is a live virus that may cause birth defects and/or disease. Being allergic to neomycin is also a contraindication as per the American Academy of Pediatrics guidelines. Individuals who have experienced anaphylactic reactions to neomycin should not receive the measles vaccine. Therefore, option D 'has a cold' is the correct choice, as the presence of a simple cold does not prevent the client from receiving the MMR vaccine.

Which of the following solutions is routinely used to flush an IV device before and after the administration of blood to a client?

  • A. 0.9% sodium chloride
  • B. 5% dextrose in water solution
  • C. Sterile water
  • D. Heparin sodium
Correct Answer: A

Rationale: The correct answer is 0.9% sodium chloride. Normal saline is 0.9% sodium chloride, which has the same osmolarity as blood and does not cause cell lysis. Choices 2 and 3, 5% dextrose in water solution and sterile water, are hypotonic solutions that can lead to cell lysis. Choice 4, heparin sodium, is an anticoagulant and is not used for flushing IV devices before and after blood administration.

Quality is defined as a combination of all of the following except:

  • A. conforming to standards.
  • B. performing at the minimally acceptable level.
  • C. meeting or exceeding customer requirements.
  • D. exceeding customer expectations.
Correct Answer: B

Rationale: The correct answer is 'performing at the minimally acceptable level.' Quality is about meeting or exceeding customer requirements and expectations, as well as conforming to standards. The term 'performing at the minimally acceptable level' implies just meeting the minimum requirements, which falls short of the comprehensive definition of quality in terms of customer satisfaction and excellence. Therefore, this choice is the exception when defining quality. Choices A, C, and D align with the definition of quality as they all involve meeting or surpassing certain criteria for customer satisfaction and product excellence, which are essential components of quality management.

The mother of a toddler asks the nurse when she will know that her child is ready to start toilet training. The nurse tells the mother that which observation is a sign of physical readiness?

  • A. The child no longer has temper tantrums.
  • B. The child can remove his or her own clothing.
  • C. The child has been walking for 2 years.
  • D. The child can eat using a fork and knife.
Correct Answer: B

Rationale: Signs of physical readiness for toilet training include the child's ability to remove his or her own clothing. This ability indicates the child has developed the necessary fine motor skills to manage clothing during toilet training. The other choices are incorrect because temper tantrums, walking for a specific period, and using utensils are not indicators of physical readiness for toilet training.

People who live in poverty are most likely to obtain health care from:

  • A. their primary care physician (family doctor)
  • B. a neighborhood clinic
  • C. specialists
  • D. Emergency Departments or urgent care centers
Correct Answer: D

Rationale: Individuals living in poverty often face barriers to accessing regular healthcare services, leading them to utilize Emergency Departments or urgent care centers as their primary source of healthcare. These facilities provide immediate care without the need for appointments or insurance, making them more accessible to those in poverty. While primary care physicians and neighborhood clinics are essential for preventive care, individuals in poverty may have difficulty accessing these services due to financial constraints or lack of insurance. Specialists typically require referrals and may not be easily accessible to individuals without stable healthcare coverage. Therefore, Emergency Departments or urgent care centers are the most likely healthcare option for people living in poverty.