NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
A child on the playground is experiencing an anaphylactic reaction. The school nurse arrives with an EpiPen. The weather is cold and the child is wearing several layers of clothing. How should the nurse proceed with the EpiPen?
Correct Answer: C
Rationale: Injecting through clothing into the thigh (
C) ensures rapid administration during anaphylaxis. Arm injection (
A) is incorrect, IV injection (
B) is not for EpiPens, and delaying to remove clothing (
D) is dangerous.
Question 2 of 5
A nurse is reinforcing teaching to a client that breastfeeds who has been diagnosed with mastitis of the right breast. Which of the following instructions should be included? Select all that apply.
Correct Answer: B, D
Rationale: Increased fluids (
B) and ibuprofen (
D) manage dehydration and pain. Ceasing breastfeeding (
A) or reducing feeds (
C) can worsen mastitis, and tight bras (E) may increase discomfort.
Question 3 of 5
The nurse is discussing positioning with the family of a client who is at home following a total hip replacement a week ago. Which should be included in the discussion?
Correct Answer: C
Rationale: A pillow between the legs maintains hip abduction, preventing dislocation post-hip replacement, a critical positioning instruction.
Question 4 of 5
A client receiving aminophylline IV complains of feeling nervous and shaky. The nurse is aware that these are symptoms of:
Correct Answer: B
Rationale: Aminophylline, a xanthine derivative, can cause CNS stimulation, leading to nervousness and shakiness. It does not typically cause CNS or cardiovascular depression or anticholinergic effects.
Question 5 of 5
Which therapeutic communication skill used by the nurse is most likely to encourage a depressed client to vent feelings?
Correct Answer: D
Rationale: Active listening. This skill, along with silence, encourages the client to verbalize feelings.