NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an elderly client who had a colectomy for removal of cancer 2 days ago. The client is becoming increasingly restless and has been given IV morphine every 2 hours for severe pain. Respirations are 28/min and shallow. Which arterial blood gas results best indicate that the client is in acute respiratory failure and needs immediate intervention?
Correct Answer: A
Rationale: PaO2 < 50 mm Hg and PaCO2 > 50 mm Hg (
A) indicate acute respiratory failure, requiring immediate intervention. Other options show less severe hypoxemia or normal values.
Question 2 of 5
The nurse is caring for a 12-month-old client who is HIV-positive and severely immunosuppressed. Which of the following scheduled immunizations should the nurse anticipate administering to the client? Select all that apply.
Correct Answer: A,D
Rationale: Hib (
A) and PCV (
D) are inactivated vaccines, safe for immunosuppressed children. MMR (
C) and varicella (E) are live vaccines, contraindicated. Hepatitis A (
B) is not routine at 12 months.
Question 3 of 5
A nurse is providing care to a group of postpartum clients. Which client comment should prompt further investigation?
Correct Answer: C
Rationale: Being bothered by the baby's cries (
C) may indicate postpartum depression, requiring investigation. Exhaustion (
A), worry (
B), and emotionality (
D) are common postpartum experiences.
Question 4 of 5
A client diagnosed with heart failure has an 8-hour urine output of 200 mL. What is the nurse's first action?
Correct Answer: C
Rationale: Low urine output (200 mL/8 hr) in heart failure suggests worsening fluid retention, requiring immediate reporting to the RN (
C). Auscultation (
A), fluids (
B), and IV diuretics (
D) require RN direction.
Question 5 of 5
The nurse is preparing an injection of IM haloperidol from a glass ampule. Which of the following actions by the nurse are appropriate? Select all that apply.
Correct Answer: B,C
Rationale: Breaking the ampule away from the body (
B) and disposing in a sharps container (
C) are safe practices. An 18-gauge needle (
A) is too large, injecting air (
D) is unnecessary, and resting the needle on the rim (E) risks contamination.