NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
A client with a fractured femur is in skeletal traction. Which nursing action is essential to prevent complications?
Correct Answer: A
Rationale: Weights must hang freely to maintain proper traction and alignment of the fracture.
Question 2 of 5
The client, who had been prescribed sildenafil 2 weeks ago for erectile dysfunction, calls the clinic to report that nothing happens, despite taking sildenafil orally and waiting for his erection to develop. Which fact should the nurse consider before responding to the client?
Correct Answer: C
Rationale: A. In clinical trials, some improvement in erectile hardness and duration was reported by 70% of men taking sildenafil. B. Sildenafil should be taken orally. C. Sildenafil (Viagra) enhances the normal erectile response to sexual stimuli by promoting relaxation of arterial and trabecular smooth muscle. The resultant arterial dilation causes engorgement of sinusoidal spaces in the corpus cavernosum. In the absence of sexual stimuli, however, nothing will happen. D. A fatty meal delays absorption, and, as a result, plasma levels peak in 2 hours instead of an hour; it does not cause sildenafil to be ineffective.
Question 3 of 5
The nurse is assessing a client with suspected hypovolemia. Which finding supports this diagnosis? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Tachycardia, hypotension, dry mucous membranes, and cool, clammy skin indicate hypovolemia; increased urine output does not.
Question 4 of 5
A client with a history of hypertension is prescribed hydrochlorothiazide. Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: Hydrochlorothiazide can cause hypokalemia; monitoring potassium levels is essential.
Question 5 of 5
A pregnant client with known human immunodeficiency virus (HIV) infection is admitted to the hospital in active labor. Which method of fetal assessment is most appropriate?
Correct Answer: C
Rationale: External fetal monitoring is non-invasive, minimizing HIV transmission risk during labor compared to invasive methods.