NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is preparing to administer insulin to a client with type 1 diabetes. Which action should the nurse take first?
Correct Answer: A
Rationale: Checking the blood glucose level first ensures the insulin dose is appropriate for the client's current needs, preventing hypoglycemia or hyperglycemia.
Question 2 of 5
The physician performs a vaginal examination on a client in labor and states that the client is completely effaced and fully dilated. At this time, the nurse correctly plans to assess the need to the client who is entering which stage of labor?
Correct Answer: B
Rationale: Complete effacement and full dilation indicate the end of the first stage and the start of the second stage of labor, where the client begins pushing to deliver the baby.
Question 3 of 5
A physician orders postural drainage for a client with pneumonia. Which nursing action best facilitates a therapeutic outcome for the client?
Correct Answer: B
Rationale: Deep coughing during and after postural drainage helps mobilize and expel mucus from the lungs, enhancing the effectiveness of the procedure in treating pneumonia.
Question 4 of 5
A pregnant client is admitted to the labor and delivery area with vaginal bleeding. The physician's routine admission orders include the administration of an enema. Which action by the nurse is most appropriate?
Correct Answer: B
Rationale: Vaginal bleeding in pregnancy may indicate a serious condition like placenta previa or abruption, where an enema could exacerbate bleeding or cause complications, so it should be withheld until clarified.
Question 5 of 5
The nurse is completing a care plan for an immobile client. Which nursing measure for preventing contractures is best to include in the care plan?
Correct Answer: B
Rationale: Range-of-motion exercises maintain joint flexibility and muscle length, directly preventing contractures in immobile clients.