NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
A 78 year-old client with pneumonia has a productive cough, but is confused. Safety protective devices (restraints) have been ordered for this client. How can the nurse prevent aspiration?
Correct Answer: C
Rationale: Obtain a sitter for the client while restrained. The plan to use safety devices (restraints) should be rethought. Restraints are used to protect the client from harm caused by removing tubes or getting out of bed. In the event that this restricted movement could cause more harm, such as aspiration, then a sitter should be requested. These are to be provided by the facility in the event the family cannot do so. This client needs to cough and be watched rather than restricted. Suctioning will not prevent aspiration in this situation. Cough suppressants should be avoided for this client.
Question 2 of 5
The nurse is teaching a newly diagnosed asthma client on how to use a peak flow meter. The nurse explains that this should be used to
Correct Answer: B
Rationale: The peak flow meter is used to measure peak expiratory flow volume. It provides useful information about the presence and/or severity of airway obstruction.
Question 3 of 5
A client with metastatic esophageal cancer says, 'I don't want to be kept alive being fed by a tube.' What are the most appropriate ways for the nurse to ensure that this information is available to all who may need it for future decision-making? Select all that apply.
Correct Answer: A, B, C
Rationale: Documenting in the EHR (
A), discussing with the proxy (
B), and completing an advance directive (
C) ensure the client's wishes are communicated. Informed consent (
D) is irrelevant, and DNR (E) is not indicated.
Question 4 of 5
An adult client has been medicated for elective surgery. The operating room nurse discovers that the consent form for surgery has not been signed. What should the nurse do?
Correct Answer: B
Rationale: Preoperative medications impair judgment, making consent invalid post-administration. Notifying the physician ensures legal and ethical consent is obtained, delaying surgery if needed.
Question 5 of 5
The nurse prepares to administer medications to a client. Which of the following client data are acceptable for use as client identifiers? Select all that apply.
Correct Answer: A, B, D
Rationale: Date of birth (
A), first and last name (
B), and medical record number (
D) are reliable identifiers. Health care provider (
C) and room number (E) are not specific to the client.