NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
A client with a recent stroke has dysphagia. Which nursing action promotes safe swallowing?
Correct Answer: B
Rationale: An upright position at 90 degrees reduces aspiration risk in clients with dysphagia.
Question 2 of 5
The nurse is caring for the client who is 24 hours post-TURP and is having painful bladder spasms. Which intervention should the nurse plan to implement?
Correct Answer: B
Rationale: A. Opioid medications will decrease the pain sensations but will not decrease the muscle spasms. B. The belladonna and opium suppository will inhibit smooth muscle contraction and decrease bladder spasms; thus, it will also reduce pain. C. Ambulation will not decrease the discomfort. D. Heat, rather than cold, is the recommended nonphannacological treatment for bladder spasms.
Question 3 of 5
Which comment made by a client who is taking aspirin is most likely related to adverse effects of drug therapy?
Correct Answer: D
Rationale: Buzzing in the ears (tinnitus) is a common adverse effect of aspirin, indicating potential toxicity.
Question 4 of 5
When changing a sterile abdominal dressing, which nursing actions would violate the principles of asepsis? Select all that apply.
Correct Answer: D,E,F
Rationale: Cleaning from the outer edge toward the center introduces contaminants to the wound, violating asepsis. Reaching across the sterile field and touching the soiled dressing with sterile gloves contaminate the sterile field and gloves, respectively.
Question 5 of 5
When a schizophrenic client claims to see demons in the room, how should the nurse document the finding?
Correct Answer: C
Rationale: Quoting the client's exact statement provides objective, accurate documentation of the hallucination.