NCSBN NCLEX PN TESTBANK 2026 ALL
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The nurse is assisting with the delivery of a newborn infant. What is the
priority nursing intervention for a normal newborn immediately after
delivery?
1Dry off infant with a warm blanket or towel
2Apply identification bracelets
3Assign the one-minute APGAR score
4Obtain vital signs - ANSWER- 1Dry off infant with a warm blanket or
towel -
The registered nurse is teaching a childbirth education class about
postpartum depression. Which statement, made by a class member,
indicates that more teaching is needed?
1"I will make an effort to talk with someone about my feelings if I start
to feel overwhelmed."
2"It's common for women with postpartum depression to have delusions
about the infant."
3"Women with postpartum depression have feelings of guilt and
worthlessness."
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4"I may experience postpartum depression up to a year after delivery." -
ANSWER- 2
The nurse is reinforcing information about the side effects of fluoxetine
to a client. Which group of findings should be included?
1Diarrhea, dry mouth, weight loss, reduced libido
2Tachycardia, blurred vision, hypotension, anorexia
3Orthostatic hypotension, vertigo, reactions to tyramine, nausea
4Photosensitivity, seizures, edema, hyperglycemia - ANSWER-
1Diarrhea, dry mouth, weight loss, reduced libido
A client has a diagnosis of heart failure. Which intervention is most
important for the nurse to implement prior to the administration of
digoxin?
1Use the pulse reading from the electronic blood pressure device
2Take a radial pulse, counting for a full 60 seconds
3Check for a pulse deficit at least twice with another nurse
4Assess the apical pulse, counting for a full 60 seconds - ANSWER-
4Assess the apical pulse, counting for a full 60 seconds -
A client diagnosed with bipolar disorder refuses to take the prescribed
medication. Which is the most therapeutic response by a nurse to the
client's refusal of the medication?
1"You need to take your medicine. This is how you get better."
2"What is it about the medicine that you don't like?"
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3"I can see that you are uncomfortable right now; let's talk about it
tomorrow."
4"If you refuse your medicine, tell me how do you think you will get
better?" - ANSWER- 2
A parent expresses frustration and anger about the toddler constantly
saying "no" and refusing to follow directions. The nurse should help the
parent understand that this behavior meets which developmental need?
1Self-esteem
2Initiative
3Independence
4Trust - ANSWER- 3
The LPN is assisting the RN to provide care for a client diagnosed with
a traumatic brain injury. Using the Glasgow Coma Scale, when the client
does not obey verbal commands to move, which technique will the RN
use to evaluate motor function?
1Squeeze the trapezius muscle firmly
2Lift the client's arm and observe for pronation and drift
3Apply finger tip pressure for 10 seconds
4Rub the sternum with the knuckles - ANSWER- 1Squeeze the trapezius
muscle firmly -
A newborn has hyperbilirubinemia and is being treated with a
biliblanket. Which intervention is indicated during this therapy?
1Discontinue breastfeeding during treatment
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2Rotate the neonate to treat all of his/her skin
3Restrict holding the newborn during treatment
4Provide more frequent feedings - ANSWER- 4Provide more frequent
feedings-
A client with paranoid delusions stares at the nurse over a period of
several days. The client suddenly walks up to the nurse and shouts, "You
think you're so perfect, pure and good." How should the nurse respond?
1"You seem to be in a bad mood."
2"Perfect? I don't quite understand."
3"You sound angry right now."
4"That explains why you've been staring at me." - ANSWER- 3
The client with coronary artery disease has a prescription for
nitroglycerin transdermal patches. What is the best reason the client
should not wear a patch for more than 12 to 14 hours each day?
1It can cause severe headaches
2It may no longer work as well
3It will cause profound hypotensive effects
4it will irritate the skin - ANSWER- 2
A hospitalized infant is receiving gentamicin. Which nursing
intervention should receive priority in the plan of care?
1Compare daily infant weights
2Monitor the infant's urine output