NCLEX PN Exam Practice Test with NGN

Question 1 of 5.

Extract:The nurse is caring for an infant in the clinic. Nurses' Notes Clinic Visit: Age 4 Months 0800: The infant is playing with the hands and feet and making cooing sounds. The infant smiles and laughs appropriately when the caregiver provides a toy. No evidence of Moro, tonic, or rooting reflexes noted. The infant has weak muscle tone in the neck and does not hold the head up independently. Clinic Visit: Age 6 Months 0930: The infant does not have head control. The caregiver reports that the infant babbles but does not use words or call the parent by any name. The infant does not point at desired objects. The caregiver also reports that the infant has begun to act afraid of unfamiliar people

The nurse recognizes that the 6-month-old infant who ........ should be evaluated for........

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.