NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
A client is admitted with right lower quadrant pain, nausea, and a temperature of 100°F. What does the nurse expect will be done initially?
Correct Answer: C
Rationale: Symptoms suggest appendicitis; a CBC is initial to assess for infection (elevated WB
C), guiding further diagnostic steps.
Question 2 of 5
The nurse is contributing to a staff education program about non-pharmacological pain management techniques for newborns and infants. Which of the following techniques should the nurse include in the program? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Sucrose sucking, skin-to-skin contact, pacifier use, and swaddling reduce pain perception in infants. Cold packs are not recommended for newborns due to risk of tissue damage and ineffective pain relief in this context.
Question 3 of 5
A client is admitted with suspected pheochromocytoma. The physiological alteration associated with pheochromocytoma is:
Correct Answer: A
Rationale: Pheochromocytoma causes catecholamine release, leading to extreme hypertension . Rash , iris flecks , and nasolabial creases are not associated.
Question 4 of 5
Four clients have requested medication for pain. The licensed practical nurse should give priority to medicating:
Correct Answer: D
Rationale: Pain from a myocardial infarction indicates ongoing ischemia, requiring immediate attention to reduce cardiac demand. Fractured femur, laminectomy, and head injury pain, while serious, are less immediately life-threatening.
Question 5 of 5
The nurse is working with unlicensed assistive personnel (UAP). Which task can the nurse safely assign to UAP?
Correct Answer: B
Rationale: Collecting a urine specimen from a Foley catheter is within the UAP's scope, as it involves a straightforward procedure with proper training. Colostomy irrigation and refilling enteral feeding containers require nursing judgment and are not safe for UAP to perform.