NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
A client with allergic rhinitis has an order for a long-acting nasal spray that contains oxymetazoline. The client should be instructed to use the spray as directed to prevent:
Correct Answer: B
Rationale: Overuse of oxymetazoline can cause rebound nasal congestion (rhinitis medicamentosa). It does not typically cause bleeding, nasal polyps, or tinnitus.
Question 2 of 5
The nurse is planning care for all of the following clients. Which client should be cared for first?
Correct Answer: B
Rationale: The 75-year-old post-prostatectomy client's request to remove the catheter and urgency to urinate suggest potential catheter obstruction or bladder irritation, which could lead to complications like infection or bladder damage. This requires immediate assessment and intervention, taking priority over routine dressing changes, scheduled mobility, or pain management.
Question 3 of 5
The nurse observes a client using a walker. Which observation indicates that the client needs more instruction?
Correct Answer: A
Rationale: Using the walker to pull up risks tipping, indicating improper use and a need for further instruction on safe walker technique.
Question 4 of 5
A nurse discovers a cyanotic newborn with excessive frothy mucus in the mouth. What should be the nurse’s first action?
Correct Answer: D
Rationale: Suctioning the mouth (
D) clears mucus, addressing potential airway obstruction causing cyanosis. Oxygen (
A), auscultation (
B), and positioning (
C) are secondary until the airway is clear.
Question 5 of 5
The nurse enters the room of a client who had major abdominal surgery 1 week ago and notes dehiscence and evisceration of the surgical incision. The nurse should immediately place the client in the
Correct Answer: A
Rationale: Low Fowler with knees bent (
A) reduces abdominal tension, preventing further evisceration while awaiting surgical intervention. Prone (
B), supine flat (
C), or side-lying (
D) increase strain or risk organ protrusion.