NCLEX-PN
PN NCLEX Practice Test Questions
Extract:
Question 1 of 5
A client is admitted to the burn unit with an electrical burn. Which of the following areas probably sustained the greatest degree of injury?
Correct Answer: B
Rationale: Electrical burns cause deep tissue damage, with intrathoracic organs (heart, lungs) at greatest risk due to the current's path through the body.
Question 2 of 5
A primigravida arrives at the labor unit stating that she is having contractions. Which statement describes the presence of true contractions?
Correct Answer: B
Rationale: True contractions have a consistent frequency , becoming regular and stronger. They start in the back or upper abdomen (A is incorrect), intensify with activity (C is incorrect), and are regular (D is incorrect).
Question 3 of 5
The nurse is reviewing the medication profile for a client with chronic obstructive pulmonary disease. Which prescription should the nurse question?
Correct Answer: B
Rationale: Codeine, an opioid, suppresses cough and respiration, risking respiratory depression in COPD. Amlodipine treats hypertension, ipratropium relieves bronchospasm, and methylprednisolone reduces inflammation, all appropriate for COPD.
Question 4 of 5
The nurse enters the room of a woman who had a vaginal hysterectomy three days ago and finds her crying. What is the best initial approach for the nurse?
Correct Answer: A
Rationale: Asking about her concerns opens therapeutic communication, addressing her emotional needs directly and empathetically.
Question 5 of 5
The nurse is caring for a client who has subclavian central venous access. Which nursing intervention is most important to prevent the spread of infection to this client?
Correct Answer: A
Rationale: Frequent hand hygiene is the most effective intervention to prevent infection in central venous access, reducing pathogen transmission. No artificial nails and chlorhexidine wipes are supportive, but hand hygiene is primary. PPE is situational.