NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a recent spinal cord injury is experiencing dysreflexia and is noted to have a BP of $240 / 110$. The nurse's initial response should be to:
Correct Answer: B
Rationale: Elevating the head to a 45° angle helps reduce blood pressure in autonomic dysreflexia by promoting venous return and reducing intracranial pressure.
Question 2 of 5
The nurse is assisting with the care of a client who is scheduled to receive an oxytocin infusion to induce labor. The nurse should recognize that oxytocin infusion can lead to
Correct Answer: B
Rationale: Oxytocin can cause uterine hyperstimulation, leading to fetal distress and potential cesarean delivery.
Question 3 of 5
Which of the following signs is highly suggestive of impaired hearing in an infant?
Correct Answer: B
Rationale: Absence of babbling by 7 months is a red flag for hearing impairment, as infants typically begin vocalizing in response to sounds. Other signs are less specific to hearing.
Question 4 of 5
The nurse is caring for a 72-year-old client 1 day postoperative colectomy. The nurse finds increased work of breathing, diminished breath sounds at the bases with fine inspiratory crackles, respirations 12/min and shallow, and pulse oximetry 96% on 2 L oxygen. There is no jugular venous distension or peripheral edema. Pain is regulated with client-controlled morphine. Which prescription does the nurse anticipate?
Correct Answer: B
Rationale: Incentive spirometry promotes lung expansion and prevents atelectasis, which is likely causing the observed respiratory symptoms.
Question 5 of 5
The pediatric nurse is reinforcing education about medication administration to the parents of a 4-year-old client. Which statements made by the parents demonstrate correct understanding? Select all that apply.
Correct Answer: C
Rationale: Using an oral syringe ensures accurate dosing. Mixing with food, redosing after vomiting, involving the child in preparation, or punishing refusal are inappropriate.