NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:
Correct Answer: A
Rationale: Naloxone reverses opioid-induced respiratory depression and somnolence by antagonizing opioid receptors. The other medications have different indications and do not address opioid overdose. Pharmacological Therapies
Question 2 of 5
The nurse is reinforcing teaching with a client who is starting to use a cervical cap for contraception. Which client statement would require follow-up?
Correct Answer: C
Rationale: Leaving the cervical cap in for at least 24 hours increases infection risk; it should remain for 6-8 hours post-intercourse. Applying spermicide and inserting hours before intercourse are correct practices for effective use.
Question 3 of 5
The nurse is caring for a 70-year-old client with diabetic retinopathy. Which of the following statements by the client would be a priority to follow up?
Correct Answer: A
Rationale: A 'curtain' over half the vision suggests retinal detachment, a medical emergency requiring immediate intervention to prevent permanent vision loss. Reading glasses are normal, cloudy vision or glare may indicate cataracts, and less bright colors are age-related, but none are as urgent.
Question 4 of 5
The nurse is reviewing dietary teaching with a client who has chronic kidney disease. Which of the following statements by the client would indicate a correct understanding of the teaching? Select all that apply.
Correct Answer: D
Rationale: Using herbs instead of salt reduces sodium intake, which is critical in chronic kidney disease to manage fluid retention and blood pressure. Salt substitutes often contain potassium, which is restricted; raisins, bran, and milk are high in potassium or phosphorus; and peanut butter and crackers are high in sodium and phosphorus.
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.