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NCLEX PN Practice Test Questions

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Question 1 of 5

A client returns from the operating room after a right orchiectomy. For the immediate post-operative period the nursing priority would be to

Correct Answer: B

Rationale: Due to the location of the incision, pain management is the priority. Bladder spasms are more related to prostate surgery.

Question 2 of 5

A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. The most important reason for the nurse to elevate the casted leg is to

Correct Answer: D

Rationale: Elevating the leg both improves venous return and reduces swelling. Client comfort will be improved as well.

Question 3 of 5

A client in labor with a history of a previous cesarean birth has chosen to attempt a vaginal birth. During labor, which finding would be most concerning to the nurse?

Correct Answer: A

Rationale: Cessation of contractions with maternal tachycardia (
A) suggests uterine rupture, a life-threatening emergency in VBAC due to scar dehiscence. Fetal tachycardia (
B) is concerning but less specific, anxiety (
C) is expected, and regular contractions (
D) are normal.

Question 4 of 5

The nurse is observing a staff member preparing regular insulin and NPH insulin in 1 syringe. The nurse should intervene if the staff member is observed

Correct Answer: A

Rationale: When mixing regular and NPH insulin, regular (clear) insulin is drawn first to prevent contamination with NPH (cloudy) insulin, which could alter its action. Drawing NPH after regular (
A) is incorrect and requires intervention. Injecting air into vials (
B) follows the same order (NPH then regular), which is correct. Needle contact with the vial (
C) is poor technique but less critical than incorrect insulin order.

Question 5 of 5

A woman in her third trimester complains of severe heartburn. What is appropriate teaching by the nurse to help the woman alleviate these symptoms?

Correct Answer: D

Rationale: Sleep with head propped on several pillows. Heartburn is a burning sensation caused by regurgitation of gastric contents. It is best relieved by sleeping position, eating small meals, and not eating before bedtime.

Similar Questions

A nurse is caring for a client 2 days after surgical creation of an arteriovenous fistula in the forearm. Which finding should the nurse report immediately to the health care provider?
An adult who has cholecystitis reports clay-colored stools and moderate jaundice. The nurse knows that which is the best explanation for the presence of clay-colored stools and jaundice?
The nurse is caring for a client with anorexia nervosa. Which of the following findings would be consistent with the condition? Select all that apply.
The nurse is reinforcing teaching for a client who is prescribed acyclovir for genital herpes. Which statement should be included by the nurse?
A young adult is admitted with a possible head injury. The car in which he was riding hit a utility pole, and the client's head hit the windshield. Baseline vital signs are BP=112/74, P=80, and R=12. The nurse checks the client an hour after admission. Which finding(s) are significant and should be reported to the charge nurse or physician immediately? Select all that apply.

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