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NCLEX PN Test Questions

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Question 1 of 5

A client is admitted to the ER with reported heroin intoxication. Which of the following signs is consistent with opiate use?

Correct Answer: D

Rationale: Opiates like heroin cause pupil constriction (miosis). Dilated pupils, rapid speech, or elevated BP are not typical.

Question 2 of 5

Legal protection of confidentiality:

Correct Answer: D

Rationale: Confidentiality protects both written and verbal identifiable health information to maintain client privacy. Non-identifiable data may not require protection, and confidentiality is not limited to courts. Coordinated Care

Question 3 of 5

An adult has a substance abuse problem. Which statement, if made by the client, indicates the best understanding of the problem?

Correct Answer: D

Rationale: Calling a support group during distress shows understanding of ongoing recovery needs, leveraging resources to maintain sobriety.

Question 4 of 5

An adult who is hospitalized with congestive heart failure is receiving an intravenous infusion. The nurse is checking the IV. Which of the following is of greatest concern to the nurse?

Correct Answer: A

Rationale: The insertion site is critical to assess for infection, infiltration, or phlebitis, the greatest concern to prevent IV complications in heart failure.

Question 5 of 5

The nurse is caring for a 45-year-old client with atrial fibrillation who has been receiving diltiazem. Which of the following findings would indicate that the medication has been effective?

Correct Answer: D

Rationale: Diltiazem is used in atrial fibrillation to control ventricular rate. A decrease from 158/min to 88/min indicates effective rate control. Blood pressure, chest pain, and stroke prevention are not primary indicators of diltiazem's efficacy in this context.

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The nurse is performing a dressing change for a client with an infected wound. Which actions by the aide indicate adherence to appropriate infection control procedures? Select all that apply.
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The most common cause of injury from a house fire is:

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