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PN NCLEX Practice Exam Questions

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Question 1 of 5

A non-stress test has been ordered for a pregnant client with diabetes mellitus. Non-stress testing is a part of the diabetic's prenatal care because:

Correct Answer: C

Rationale: Diabetes can impair placental vessel development, reducing oxygen and nutrient delivery to the fetus, necessitating non-stress testing to monitor fetal well-being. Fetal movement and lung maturity are assessed differently, and insulin's effect is indirect.

Question 2 of 5

The nurse is assisting in planning care for a client experiencing an acute attack of Ménière disease. Which action is a high priority to include in the plan of care?

Correct Answer: C

Rationale: A quiet environment (
C) reduces sensory overload, a priority in Ménière disease attacks. Fall precautions (
A), emesis basin (
B), and IV fluids (
D) are supportive but less critical.

Question 3 of 5

A client with a history of increased intracranial pressure is admitted to the hospital for severe headaches. The client suddenly vomits and states, 'That's weird, I didn't even feel nauseated.' Which action should the nurse take next?

Correct Answer: C

Rationale: Sudden vomiting without nausea in increased ICP suggests worsening pressure, requiring immediate RN notification (
C). Documentation (
A), lowering the bed (
B), and antiemetics (
D) are secondary.

Question 4 of 5

An RN who usually works in a spinal rehabilitation unit is floated to the emergency department. Which of these clients should the charge nurse assign to this RN?

Correct Answer: C

Rationale: Nurses who are floated to other units should be assigned to a client who has minimal anticipated immediate complications of their problem. The client in option C exhibits opioid toxicity with the pinpoint pupils and has the least risk of complications occurring in the near future.

Question 5 of 5

The nurse is talking with a client who has a new prescription for misoprostol to prevent gastric ulcers. Which of the following statements by the client would require follow-up?

Correct Answer: C

Rationale: Taking misoprostol with antacids (
C) reduces its efficacy and requires follow-up. Taking with meals (
A), using contraception (
B), and reporting black stools (
D) are correct.

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The nurse has attended a staff education program about administering intramuscular injections. Which of the following statements by the nurse would indicate a correct understanding of the program?
The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone. Which of the following actions should the nurse take? Select all that apply.
The nurse is caring for a 12 year-old with an acute illness. Which of the following indicates the nurse understands common sibling reactions to hospitalization?

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