NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
A hearing-impaired client is becoming withdrawn and depressed. He reports that even with a hearing aid, he is having increased difficulty hearing. Which suggestion is least likely to be helpful?
Correct Answer: A
Rationale: A hearing guide dog is less helpful for communication compared to social engagement, TDD, or closed-caption TV, which directly address hearing loss.
Question 2 of 5
A client with leukemia has been receiving injections of Neulasta (pegfilgrastim). Which laboratory value reveals that the drug is producing the desired effect?
Correct Answer: B
Rationale: Neulasta (pegfilgrastim) stimulates the production of neutrophils, a type of white blood cell, to reduce the risk of infection in clients with neutropenia. A white blood cell count of 6,000/mm indicates an increase in white blood cells, showing the drug's desired effect. Hemoglobin relates to red blood cells, platelet count relates to clotting, and iron level is unrelated to Neulasta's action.
Question 3 of 5
The nurse is preparing to flush a client's central venous catheter. Which size syringe is best for the nurse to choose?
Correct Answer: C
Rationale: A 10 mL syringe is recommended to avoid excessive pressure that could damage the catheter.
Question 4 of 5
The parents of an adolescent who is being treated for a serious head injury ask why their child is being kept unconscious. The parents say, 'The doctor said he was going to give him medicine to keep him unconscious for a few days. Why? We want to talk to him. What is going on?' What should the nurse include when responding to the parents?
Correct Answer: B
Rationale: Barbiturates induce coma in severe head injuries to reduce cerebral metabolism and intracranial pressure, protecting the brain, unlike pain control or restlessness management.
Question 5 of 5
A client is admitted with a pressure ulcer in the sacral area. The partial thickness wound is 4 cm by 7 cm, the wound base is red and moist with no exudate and the surrounding skin is intact. Which of the following coverings is most appropriate for this wound?
Correct Answer: D
Rationale: Occlusive moist dressing. This supports healing by maintaining a moist environment for granulation tissue.