Naxlex 1-50 Questions With Complete Solutions
The practical nurse (PN) receives shift report for four newborns
in the full-term newborn nursery.
Which infant should the PN assess first?
A. The ten-hour-old with circumoral cyanosis.
B. The one-day-old with a positive Babinski's reflex
C. The two-day old with negative Ortolani's sign
D. The six-hour-old with a large sacral "stork bite"
A. The ten-hour-old with circumoral cyanosis.
While changing the dressing of a client who is immobile, the
practical nurse (PN) observes a red and swollen wound with a
moderate amount of yellow and green drainage and a foul odor.
Before reporting this finding to the healthcare provider, the PN
should evaluate which of the client's laboratory values?
A. C-reactive protein level
B. Culture for sensitive organisms.
C. Serum albumin.
D. Serum blood glucose (BG) level.
B. Culture for sensitive organisms.
The practical nurse (PN) is caring for a client with a new
prescription for fluticasone furoate nasal spray, a glucocorticoid
,prescribed for the client's nasal allergy symptoms.
In reinforcing instructions about self-administration of the nasal
spray, the PN should emphasize the need for the client to take
which action before self-administration?
A. Exhale through the mouth.
B. Gently blow the nose.
C. Check glucose level before and after administration.
D. Deep breathe and cough.
B. Gently blow the nose.
The practical nurse (PN) is charting vital signs on a hand-writen
flow sheet and realizes that an error has been made. What should
the PN do to rectify this error?
A. Obliterate the entry and insert the correct information
B. Draw one line through the entry and insert the correct
information
C. Chart the correct information in the next column.
D. Notify the charge nurse that the entry needs to be revised
B.Draw one line through the entry and insert the correct
information
Which finding should the practical nurse (PN) instruct the
postpartum client to report to the charge nurse?
A. Increased diaphoresis during the day and night.
B. Breast engorgement on the fourth postpartum day.
, C. Lochia color that changes to light pink or white.
D. Sudden or persistent temperature above 100.5 F (38.0 C).
D.Sudden or persistent temperature above 100.5 F (38.0 C).
Before administering an antibiotic that can cause nephrotoxicity,
which laboratory value is most important for the practical nurse
(PN) to review?
A. White blood cell count (WBC).
B. Serum creatinine.
C. Hemoglobin and Hematocrit.
D. Serum calcium
B. Serum creatinine.
The practical nurse (PN) determines that a client's pupils
constrict as they change focus from a far object to a near object.
How should the PN document this finding?
A. Peripheral vision intact.
B. Nystagmus present with pupillary focus.
C. Consensual pupillary constriction present
D. Pupils reactive to accommodation
D.Pupils reactive to accommodation
Which information should the practical nurse (PN) collect
during admission assessment of a terminally ill client to an acute
care facility?
A. Name of funeral home to contact.
B. Contact information for client's next of kin.
The practical nurse (PN) receives shift report for four newborns
in the full-term newborn nursery.
Which infant should the PN assess first?
A. The ten-hour-old with circumoral cyanosis.
B. The one-day-old with a positive Babinski's reflex
C. The two-day old with negative Ortolani's sign
D. The six-hour-old with a large sacral "stork bite"
A. The ten-hour-old with circumoral cyanosis.
While changing the dressing of a client who is immobile, the
practical nurse (PN) observes a red and swollen wound with a
moderate amount of yellow and green drainage and a foul odor.
Before reporting this finding to the healthcare provider, the PN
should evaluate which of the client's laboratory values?
A. C-reactive protein level
B. Culture for sensitive organisms.
C. Serum albumin.
D. Serum blood glucose (BG) level.
B. Culture for sensitive organisms.
The practical nurse (PN) is caring for a client with a new
prescription for fluticasone furoate nasal spray, a glucocorticoid
,prescribed for the client's nasal allergy symptoms.
In reinforcing instructions about self-administration of the nasal
spray, the PN should emphasize the need for the client to take
which action before self-administration?
A. Exhale through the mouth.
B. Gently blow the nose.
C. Check glucose level before and after administration.
D. Deep breathe and cough.
B. Gently blow the nose.
The practical nurse (PN) is charting vital signs on a hand-writen
flow sheet and realizes that an error has been made. What should
the PN do to rectify this error?
A. Obliterate the entry and insert the correct information
B. Draw one line through the entry and insert the correct
information
C. Chart the correct information in the next column.
D. Notify the charge nurse that the entry needs to be revised
B.Draw one line through the entry and insert the correct
information
Which finding should the practical nurse (PN) instruct the
postpartum client to report to the charge nurse?
A. Increased diaphoresis during the day and night.
B. Breast engorgement on the fourth postpartum day.
, C. Lochia color that changes to light pink or white.
D. Sudden or persistent temperature above 100.5 F (38.0 C).
D.Sudden or persistent temperature above 100.5 F (38.0 C).
Before administering an antibiotic that can cause nephrotoxicity,
which laboratory value is most important for the practical nurse
(PN) to review?
A. White blood cell count (WBC).
B. Serum creatinine.
C. Hemoglobin and Hematocrit.
D. Serum calcium
B. Serum creatinine.
The practical nurse (PN) determines that a client's pupils
constrict as they change focus from a far object to a near object.
How should the PN document this finding?
A. Peripheral vision intact.
B. Nystagmus present with pupillary focus.
C. Consensual pupillary constriction present
D. Pupils reactive to accommodation
D.Pupils reactive to accommodation
Which information should the practical nurse (PN) collect
during admission assessment of a terminally ill client to an acute
care facility?
A. Name of funeral home to contact.
B. Contact information for client's next of kin.
