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NCLEX PN Practice Test Questions

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Question 1 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 2 of 5

A male client is admitted for evaluation of a sudden hearing loss. No physical cause can be found for his sudden deafness; however, a friend reveals that the client's fiancée recently canceled their engagement, saying that she needed more time to think about the marriage. The client's deafness is an example of:

Correct Answer: A

Rationale: Sudden deafness after emotional stress, without physical cause, indicates a conversion reaction, where psychological distress manifests physically.

Question 3 of 5

All nursing staff on the medical unit are responsible for implementing a new interdisciplinary fall prevention protocol. Which duties are appropriate for the licensed practical nurse to delegate to unlicensed assistive personnel to promote client safety? Select all that apply.

Correct Answer: B,C,D

Rationale: UAP can place commodes (
B), remind about slow position changes (
C), report condition changes (
D), and observe gait (E). Education (
A) requires nursing judgment, unsuitable for delegation.

Question 4 of 5

A client is to be discharged on enoxaparin (Lovenox) for the next two days. Which comment by the client indicates a need for further instruction?

Correct Answer: B

Rationale: Enoxaparin is injected subcutaneously in the abdomen, not the thigh, indicating a need for further teaching.

Question 5 of 5

Which instruction should be given to a client taking Lugol's solution prior to a thyroidectomy?

Correct Answer: B

Rationale: Lugol's solution (iodine) should be taken with juice to mask its taste and reduce gastric irritation. Taking it at bedtime , reporting appetite changes , or avoiding sunshine are not specific to this medication.

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The nurse is caring for a client who has a single-chamber atrial pacemaker. Which of the following findings would the nurse expect to observe on the client’s electrocardiogram strip?
The nurse is preparing to administer IV cefazolin to a newly admitted client with cellulitis. The nurse notes the client is allergic to amoxicillin. Which of the following actions should the nurse take next?

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