NCLEX PN Exam Practice Test with NGN

Question 1 of 5.

Extract:The nurse is caring for a 12-year-old client. History and Physical Vital Signs Body System Findings General- The client has a 2-day history of decreased appetite, nausea, fatigue, and headaches, the client had a "sore throat" 2 weeks ago that resolved without treatment; BMl is in the 65th percentile Eye, Ears, Nose, and Throat (EENT)- Periorbital edema; no changes in vision Pulmonary- Lung sounds clear bilaterally; no increased work of breathing; no cough Cardiovascular- S1 and S2 heard on auscultation; no murmur auscultated; 3+ bilateral lower extremity edema is noted Gastrointestinal- Bowel sounds present, no masses or tenderness felt Musculoskeletal No joint pain or swelling Genitourinary- Decreased urination; dark, cola-colored urine

For each potential prescription, click to specify if the prescription is anticipated or unanticipated for the care of the client.

Question 2 of 5.

Extract:The nurse is caring for a 6-year-old client accompanied by the parents. History and Physical Body System Findings General Client is brought to the emergency department due to shortness of breath; medical history includes cystic fibrosis and many previous hospital admissions for pneumonia; in the 3rd percentile for height and weight Neurological Alert and oriented to person, place, and time; no neurologic deficits Pulmonary Vital signs: RR 30, SpO, 87% on room air; moderate subcostal retractions; bilateral wheezing and coarse crackles throughout lung fields with fine inspiratory crackles at left lung base; paroxysmal coughing that produces thick, yellow, blood-tinged sputum; parents report that the client has begun to become "winded" after showering and other activities Cardiovascular Vital signs: T 101.7 F (38.7 C), P 130, BP 94/58; skin warm and dry; peripheral pulses palpable 2+; capillary refill 3 econds; mild finger clubbing noted Gastrointestinal Abdomen soft with normoactive bowel sounds; parent states, "Swallowing the enzyme capsules is very difficult for my child, and I have noticed an increase in greasy, bulky stools"

Click to highlight below the assessment findings that require immediate follow-up?

Question 3 of 5.

Extract:The nurse is caring for a 6-year-old client accompanied by the parents. History and Physical Body System Findings General Client is brought to the emergency department due to shortness of breath; medical history includes cystic fibrosis and many previous hospital admissions for pneumonia; in the 3rd percentile for height and weight Neurological Alert and oriented to person, place, and time; no neurologic deficits Pulmonary Vital signs: RR 30, SpO, 87% on room air; moderate subcostal retractions; bilateral wheezing and coarse crackles throughout lung fields with fine inspiratory crackles at left lung base; paroxysmal coughing that produces thick, yellow, blood-tinged sputum; parents report that the client has begun to become "winded" after showering and other activities Cardiovascular Vital signs: T 101.7 F (38.7 C), P 130, BP 94/58; skin warm and dry; peripheral pulses palpable 2+; capillary refill 3 econds; mild finger clubbing noted Gastrointestinal Abdomen soft with normoactive bowel sounds; parent states, "Swallowing the enzyme capsules is very difficult for my child, and I have noticed an increase in greasy, bulky stools"

Which of the following client findings are consistent with a cystic fibrosis exacerbation? Select all that apply.

Question 4 of 5.

Extract:The nurse is caring for a 6-year-old client accompanied by the parents. History and Physical Body System Findings General Client is brought to the emergency department due to shortness of breath; medical history includes cystic fibrosis and many previous hospital admissions for pneumonia; in the 3rd percentile for height and weight Neurological Alert and oriented to person, place, and time; no neurologic deficits Pulmonary Vital signs: RR 30, SpO, 87% on room air; moderate subcostal retractions; bilateral wheezing and coarse crackles throughout lung fields with fine inspiratory crackles at left lung base; paroxysmal coughing that produces thick, yellow, blood-tinged sputum; parents report that the client has begun to become "winded" after showering and other activities Cardiovascular Vital signs: T 101.7 F (38.7 C), P 130, BP 94/58; skin warm and dry; peripheral pulses palpable 2+; capillary refill 3 econds; mild finger clubbing noted Gastrointestinal Abdomen soft with normoactive bowel sounds; parent states, "Swallowing the enzyme capsules is very difficult for my child, and I have noticed an increase in greasy, bulky stools"

The nurse should prioritize interventions for Select...

Question 5 of 5.

Extract:The nurse is caring for a 6-year-old client accompanied by the parents. History and Physical Body System Findings General Client is brought to the emergency department due to shortness of breath; medical history includes cystic fibrosis and many previous hospital admissions for pneumonia; in the 3rd percentile for height and weight Neurological Alert and oriented to person, place, and time; no neurologic deficits Pulmonary Vital signs: RR 30, SpO, 87% on room air; moderate subcostal retractions; bilateral wheezing and coarse crackles throughout lung fields with fine inspiratory crackles at left lung base; paroxysmal coughing that produces thick, yellow, blood-tinged sputum; parents report that the client has begun to become "winded" after showering and other activities Cardiovascular Vital signs: T 101.7 F (38.7 C), P 130, BP 94/58; skin warm and dry; peripheral pulses palpable 2+; capillary refill 3 econds; mild finger clubbing noted Gastrointestinal Abdomen soft with normoactive bowel sounds; parent states, "Swallowing the enzyme capsules is very difficult for my child, and I have noticed an increase in greasy, bulky stools"

For each potential intervention, click to specify if the intervention is indicated or not indicated for the care of the client.