NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
A client scheduled for a computerized axial tomography (CAT) using a contrast medium scan of the brain should be assessed for:
Correct Answer: B
Rationale: Contrast medium often contains iodine, so assessing for iodine sensitivity prevents allergic reactions. Claustrophobia, liver function, and implants are secondary concerns.
Question 2 of 5
The nurse is caring for a newborn who has a large myelomeningocele. It would be a priority for the nurse to
Correct Answer: B
Rationale: A myelomeningocele requires a sterile, moist dressing (
B) to prevent infection and drying. Checking anus tone (
A), measuring head circumference (
C), and supine positioning (
D) are secondary or contraindicated.
Question 3 of 5
The nurse is caring for a client diagnosed with a deep venous thrombosis 1 day ago. Which action by the client would require an immediate intervention by the nurse?
Correct Answer: D
Rationale: Massaging the leg (
D) risks dislodging the clot, causing embolism, requiring immediate intervention. Ambulation (
A), warm compresses (
B), and elevation (
C) are appropriate.
Question 4 of 5
The nurse is caring for a client receiving peritoneal dialysis. Which findings are essential for the nurse to report to the health care provider?
Correct Answer: A,B,E
Rationale: Cloudy outflow (
A), fever (
B), and tachycardia (E) suggest peritonitis, requiring immediate reporting. Oliguria (
C) is expected in renal failure, and pruritus (
D) is less urgent.
Question 5 of 5
The nurse supporting a family who has just experienced a sudden and unexpected death needs to know:
Correct Answer: A
Rationale: Sudden death produces greater emotional turmoil and shock in survivors than does a gradual, expected death.