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NCLEX-PN Test 03: Clinical Growth, Oncology & Advanced Nursing Skills

Q: A baby weighs 7 pounds when born. What is the lowest weight the nurse expects this baby to be at 1 year old?

A baby should weigh three times their birth weight by age one. Since 7 times 3 is 21, the baby should weigh at least 21 pounds.

Q: A client has a bone tumor called Ewing's sarcoma. Which symptom should the nurse expect to find?

This type of cancer grows in the bone marrow. Persistent pain in the affected bone is the most common sign of this disease.

Q: A client with epilepsy takes carbamazepine. Which lab result shows a dangerous problem with the blood?

A WBC count of 2,000 is very low. This medicine can stop the body from making enough cells that fight infection, which is very dangerous.

Q: A 6-month-old baby might have a blocked intestine (intussusception). Which question is the least helpful for the nurse to ask the parents?

This is an emergency where the intestine slides into itself. Questions about pain, vomiting, and swelling are more important than what the baby usually eats.

NCLEX-PN Test 03: Essential Clinical Safety

This exam tests your knowledge of Emergency Actions, Infant Development, and Oncology Care.

Evisceration Emergency: If a wound opens and organs show, do not push them back in. Cover them with a sterile dressing soaked in saline right away.

Medication Safety: Carbamazepine can cause the body to stop making white blood cells. A very low WBC count is a life-threatening sign.

Cardiac Devices: Patients with an ICD should use cell phones on the ear opposite to the device to prevent electrical interference.

Edited by: Test-Questions.com

Last Updated: April 04, 2026

Q:1A baby weighs 7 pounds when born. What is the lowest weight the nurse expects this baby to be at 1 year old?

10 pounds

12 pounds

18 pounds

21 pounds

Q:2A client has a bone tumor called Ewing's sarcoma. Which symptom should the nurse expect to find?

Paralysis on one side of the body

Trouble speaking or understanding words

Feeling sick to the stomach

Pain in the bones

Q:3A client with epilepsy takes carbamazepine. Which lab result shows a dangerous problem with the blood?

Uric acid of 5 mg/dL

Hematocrit of 33%

White blood cell count (WBC) of 2,000

Platelets 150,000

Q:4A 6-month-old baby might have a blocked intestine (intussusception). Which question is the least helpful for the nurse to ask the parents?

Tell me about the baby's pain.

What does the baby's vomit look like?

What does the baby usually eat?

Is the baby's belly bigger than usual?

Q:5A nurse helps a client with a colon condition (diverticulosis) pick foods. ... [Show Full Question 5]

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White rice

Salad with cucumbers

White bread rolls

Q:6A client with rectal cancer had a surgery to remove the rectum (APR). ... [Show Full Question 6]

Teaching the client how to wash the stoma

Stopping the loss of fluids from the cut

Giving the client a diet high in fiber

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Q:7A client has a flare-up of colon inflammation (diverticulitis). ... [Show Full Question 7]

Roasted chicken

Plain noodles

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Custard or pudding

Q:8A new mother asks why her baby weighs less now ... [Show Full Question 8]

The baby is losing too much water in urine.

The baby has low blood sugar.

The baby is allergic to the milk.

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Q:9A client has cancer of the throat (larynx). Which ... [Show Full Question 9]

Bad breath

Trouble swallowing

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Long-lasting hiccups

Q:10A client had a surgery to remove a piece of the lung (lobectomy). ... [Show Full Question 10]

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A tube in the throat for breathing

A tube in the middle of the chest

Clapping on the chest to move mucus

Q:11A baby has swelling on one side of the head that does not cross ... [Show Full Question 11]

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Molding

A bleed under the brain

Caput succedaneum

Q:12A client is going home with an implanted heart device ... [Show Full Question 12]

Do not eat food made in a microwave.

Do not move your arm for 6 weeks.

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You cannot fly on a plane with this device.

Q:13A nurse needs to suction the throat of a heart patient. Which heart ... [Show Full Question 13]

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A very fast heart rate

Extra heart beats from the bottom of the heart

A block in the heart signal

Q:14A client is having surgery to fix a bulge in the large artery of the ... [Show Full Question 14]

Check how anxious the client feels.

Check how well the client can exercise.

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Check the sounds in the belly.

Q:15A doctor prescribes tacrine for a client with dementia. ... [Show Full Question 15]

Low blood sugar levels.

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The inability to pass urine.

A ringing sound in the ears.

Q:16A client might have a special type of low blood (pernicious anemia). ... [Show Full Question 16]

Losing 10 pounds in 2 weeks

Feeling tingling in the hands and feet

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A hemoglobin level of 12.0

Q:17A client has a broken leg bone (femur). After checking the airway ... [Show Full Question 17]

Put the client in a head-down position.

Put ice over the whole leg.

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Use a special pillow to keep the legs apart.

Q:18A client is having an X-ray of the kidneys using dye (IVP). ... [Show Full Question 18]

Drink a lot of water before the test starts.

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Stop taking all brain medicines.

Wear a heavy lead shield over the belly.

Q:19A client has a tumor classified ... [Show Full Question 19]

The tumor cannot be measured.

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The cancer has moved to the lymph nodes.

The cancer has spread to other organs.

Q:20A client had a colon surgery. After coughing, the wound opens and the bowels ... [Show Full Question 20]

Push the organs back in and cover the wound.

Cover the wound with a dry bandage.

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Put a tight belt over the belly wound.

Test 03 Study Summary

1. Infant Growth A baby should triple their birth weight by their first birthday. Early weight loss of up to 10% is normal.

2. Post-Op Care Suctioning can slow down the heart rate by hitting the vagus nerve. Always monitor for a slow pulse (bradycardia).

3. GI Health Fiber is good for wellness, but the bowel needs rest during a flare-up. Switch to low-fiber foods like white rice when the colon is inflamed.

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